Courses

This past week I had the opportunity to lab assist with Pelvis Restoration and have a booth at the Professional Hockey Athletic Trainers (PHATS) Annual Convention. It was a joy talking and meeting so many Athletic Trainers and strength coaches from multiple divisions of professional and college hockey. Your passion and energy was visible in the course, I had so much fun helping out with lab and getting to learn more about hockey and all of you!

- Matt Hornung, ATC

Below is Jesse’s course in review:

Hey PRI nation!

Midweek last week I enjoyed the opportunity to visit the largest Marriott hotel in the world to teach Pelvis Restoration to a group of engaged professionals at the Professional Hockey Athletic Trainers Society/Society of Professional Hockey Equipment Managers' annual gathering in Orlando, FL. Thank you Anita Ramsay and the Orlando World Center Marriott staff for organizing the event, and to each of what was likely many people involved within the PHATS/SPHEM group for arranging the amenities and host site.

In a room filled predominantly with highly trained ATC's and a host of other professional hockey specialties including LMT's, NHL spotters, and strength coaches focused on intervention in the professional hockey realm, the day began with a discussion of how to integrate PRI principles of Pelvis Restoration into practice by discussing how the pubosacral ring is affected by normal asymmetry that often leads to positional dysfunction of a pelvic diaphragm and can potentially decrease athlete's performance. Thank you Todd Daniels and others for spurring a thorough conversation about intervention pre and post competition early in the course to give us a functional application lean throughout. As we moved toward learning eight Pelvis Restoration objective tests that can be used to guide said pre and post competition intervention algorithms to add variability during and after play, course attendees participated in a discussion about Femoroacetabular Impingement (FAI) and how both acetabulofemoral (AF) and femoroacetabular (FA) position and harnessed pelvis movement ability can affect the varying types of FAI. Thank you Brent Woodside for your help with demonstration of how accentuated normal patterned position can affect asymmetrical beings, decrease performance and add risk. Special thanks to Seamus McKelvey for bringing the best Irish name and beard to the course--and congrats to Luis Alvarez for winning the Josh Olinick best hair award for this course.

As we moved to treatment, I was impressed by this group's consistent focus during the many lab sessions dealing with objective tests, inhibitory repositioning technique practice and neurofacilitation program technique practice and discussion. Thank you Thomas "quick hands" Alva for your athletic prowess with the pelvis toss and attention to detailed questions about special testing that ensured course participants were able to apply information as quickly as possible in practice. Rockstars: From start to finish, PRC's Connor Ryan and Megan Bollinger and ATC Matt Hornung from straight outa Lincoln were on point during this course, guiding lab groups through a plethora of lab learning opportunities with steak-like Pelvis Restoration course lab material. These three were A+ and integrated seamlessly into and out of lab demonstrations. You three killed it! Many thanks also to Andrew "bowling ball" Sachkiw, Elise "feisty" Nichols, Kristen Larsen, Tyler Stratton, Ryan Lewdon, Steve Ruhmel and more for your willingness to help with lab demonstrations of particular pelvis inlet and outlet inhibition and facilitation techniques and concepts for group learning through the course. Each of you were great!

During break times and after the course, I enjoyed the conversations with Emi Takahashi about her applied pelvis hockey research @ WSU, Kyle Moore about how to integrate Pelvis Restoration into practice and multiple others throughout the course about varying, relevant and pelvis restoration specific topics. Thank you Matthew Aiello and others for your varying senses of humor throughout the course, keeping the group light and yet tremendously attentive throughout.

I really enjoyed my stint in Orlando applying Pelvis Restoration with all of these fine hockey professionals from around the country!

Posted June 25, 2018 at 9:13PM
Categories: Courses

Earlier this month, we hosted our first Non-Manual Techniques Workshop with 42 attendees from across the US, and several different countries gathered in Lincoln to learn more about the intricacies and details of the PRI Non-Manual Techniques developed by Ron Hruska. The first 5 hours or so, Ron spent time discussing key concepts related to positioning, reference centers, and the organization of the Non-Manual Techniques programs. This then allowed us to then dive into several techniques (approximately 15) in great detail, and get Ron's input on set up, performance, cueing, modification, types of patients the technique is good for, and more. For each technique, Ron had an attendee demonstrate, while he provided tips on performance and modification. The workshop was a huge success and based on the feedback from the attendees, it is something we plan to host twice next year in Lincoln. We have had several requests others wanting to host this workshop, however due to nature of how the workshop is organized and run, the set up at the Institute is best, where I can assist Ron in pulling up techniques onto the screens as needed. Another fun thing about this workshop, is other than the first 5 hours, no two workshops will be the same! We thoroughly enjoyed the first go around, and look forward to next year!

A few testimonials from course attendees:

"I learned better ways of cuing patients (tactile/haptic) and more focus on reference centers to maximize patient ability to improve/progress more effectively and quickly."

"Awesome tools to progress or regress routine all within the same exercise!"

"Excellent!! Must do after 3 primary courses."

Posted June 25, 2018 at 5:08PM
Categories: Courses Techniques

Northeastern University hosted another wonderful weekend on their beautiful campus in the south end of Boston. Grateful to have such awesome hosts as we were honored to present our secondary level course, Impingement and Instability, to a wonderful group of professionals from several disciplines. Nate Bocko, Michelle Boland, Mike Anderson, Justin Parent, Dan Sanzo and Dan Adamietz, you guys were first class and represented Northeastern Sports Medicine very well. Your support for the science of PRI is appreciated and means a lot. Loved the discussion about athletic training and strength and conditioning application in collegiate athletics. Thank you for your willing participation throughout the weekend.

And thank you to Hannes Bartz, a motivated Physiotherapist who traveled all the way from Germany to attend this class. Awesome to have you there with us. As an American, I have never traveled to Europe to participate in continuing education, so I always tip my hat to professionals who make this kind of a commitment to be with us. Thank you for being such an attentive student, listening to and asking really good questions in a second language. Sorry I didn't know more Deutsch. Your candid and honest approach to learning was both refreshing and humorous.

It was also really cool to have 4 PRCs in attendance (including myself). Thank you Donna Behr, Anita Furbush and Karen Taylor-Soiles for adding your experience and insights to the course experience. And special thanks to you Donna Behr, for your past presentations to the sports performance staff at Harvard University. Were it not for your mentoring mentality, we may not have had Yumi Kuscher and Andrei Tarsici in attendance from the Athletic Training Staff at Harvard. Where would we be without all of Andrei's great questions? And sorry I kept calling you Andrew for the entire first half of the first day Andrei. Your questions were great.

The class established some powerful themes the first day that we were able to maintain throughout both days to help provide more clarity with clinical application. Neurology, frontal plane Lateralization and the management of hemispheric performance during rotational activities. Thank you guys for working with my analogy of getting ticketed on Tropicana and Las Vegas Boulevard when I was a young student at UNLV. For those of you who did not attend the course, I can't say anymore than that. You know what they say about "What happens in Vegas,...".

I really loved the comments from so many of you stating that this course really opened up key application principles of PRI, beyond just the basics of the 3 introductory courses. Its great to re-look at all 3 of those courses with a different set of lenses, figuratively and literally. The complexity of PRI really does start to become simple when hemispheric lateralization and the autonomic nervous system are fully respected.

Posted June 14, 2018 at 1:44PM
Categories: Courses

Being my first trip to Virginia, I was excited to be able to share the science of PRI to many first-timers. We had a very good mix of strength and conditioning, rehab, and sports medicine professionals in the audience. Virginia Commonwealth University were great hosts for our weekend of exploring how the polyarticular chains influence our every day lives, as well as our sports performance. Many thanks to Eddie Benion and his crew, James, Jason, Ray, Christopher, and John.

We spent our first day going through the patterns of the L AIC and R AIC. We discussed how the patterned behavior facilitates some muscles, while inhibits others, on each side of the body. And we had a great discussion about while is it awesome to be Batman, being Bruce Wayne is much more valuable. We talked about "good" Boy Bands, and "bad" Boy Bands.

The best part of the weekend, in my opinion was the amount of time we had for lab. We spent nearly half of the day on Sunday in lab, where everyone got a chance to find and feel the muscles that we need to facilitate, and inhibit, if we are to get into L stance and off the R leg properly. My thanks to my lab assistant, Eileen Kokosinski, PT. You were a great help! We were able to go through an inhibition lab as well. And we were able to link the activities back to the Hruska ABDuction and ADDuction Lift tests.

My thanks to Sara Creger, DPT, for letting us use her as our lab demonstration model. As well as Drew Coulter, DPT, and James Benzel, ATC, and Jason Castleman, ATC, for allowing us to learn from them as well. As always, we had a great room of learners, and we had a ton of great questions. My thanks to Joshua Jordan, Leanne Dunaway, Scott Burch, Tom Loyd, Ethan Saliba, Edwin Santiago, and Jason Turner. It was so great to hear this mix of health care professionals ask questions, and learn from each other about how human asymmetrical patterns affect our daily lives and sports performance.

Posted June 11, 2018 at 9:15PM
Categories: Courses

The spacious auditorium of St. Luke’s Hospital was the weekend home for 44 course attendees. The science of PRI continues to expand its reach to professionals from a variety of disciplines (PT, OT, PA, DC, PTA, ATC, and CSCS), with the lively Marquette University training staff well-represented.

This course dives right into discussion of our asymmetric diaphragm, creating lateralized patterns of air flow and obligatory patterns of movement, defined as the L AIC, and R BC. Attendees learned: the correlation between PRI tests and a person’s ventilatory – thus walking – strategy; how to identify joint pathology that can develop when the typical human patterns of the L AIC and R BC go awry; and how to identify pathological breathing strategies that develop from patterned position and activity – namely superior T4 and PEC syndromes.

Lab provided a kinesthetic and aural dimension to assessing activity of the left and right AIC, BC, and PEC, the quality of ventilation, and the degree of rib cage pliability/restriction. Our rib cages benefited from manual guidance to fully exhale and expand. Further lab was devoted to experiencing non-manual techniques that reinforce sensing of opposition muscles that shape the left diaphragm’s ZOA and shift our center of mass to the left while rotating the upper torso back to the right.

Special thanks to:

- The models who donated their bodies for the benefit of all: Cathy Curran, DPT, Audra Hawkins, PTA, Elizabeth Majszak, DPT, Steve Schmidt, DPT, and Brandon Yoder, ATC. ,

- Mary Jo Herrick and Selene Wang, DPT, of Aurora Healthcare, for the set-up, break-down, and keeping us hydrated and fed.

- Gabe Champeau, DPT, and Anita Panagiotis, MSPT, PRC for assisting during labs and sharing your clinical pearls.

Posted June 8, 2018 at 4:16PM
Categories: Courses

James and I were fortunate to have a packed house at our PRI Fitness and Movement course in Burlington, VT. We focused on cleanly delivering principles of breathing as related to optimizing movement health, postural balance, core stability and self-regulation. In this course, we break down breathing and dynamic thoracic posture principles into digestible chucks then link them back to creating dynamic symmetrical balance around the shoulder and hips. Through regulating our breathing and thoracic posture we can reduce unwanted muscle tension and patterns of hyperactivity which can impair various performance relationships.

I know I probably say this in every post course review I write– but this course continues to get better each time we teach! The attendees really do make the course and this was a great group! Thank you to all that attended! I continue to get excited for the future of this course and how it can help others learn about the invaluable science of Postural Restoration.

Special thanks to our host, Matt Baine and the University of Vermont Athletic Training staff. Awesome space which accommodated great lab time and the staff was superb. Also special thanks to our lab assistant Maura Guyer and the other PRCs that attended – Mike DeMille, Sean Fitzgerald, Oliver Hall, and Chad Rainey - your continual support to help these affiliate courses succeed is greatly appreciated! Lastly, special acknowledgement to our furthest traveling attendee, Massahiro Goto who was a chiropractor that traveled in from Japan to learn with us! What great representation of extraordinary dedication and care to his craft!

If you are interested in attending we have four courses left this year and James and I both encourage you to sign up sooner than later as they will get sold out – We will be teaching in the areas of Charlotte, Los Angeles, Chicago and Philadelphia. If you can’t make it this year and are a good host site for next year, we’d love to hear from you as we are starting to look for host sites for 2019!

Posted June 8, 2018 at 3:05PM
Categories: Courses

Impact Physical Medicine and Aquatic Center has been a long-time friend of PRI and always hosts courses in their cutting edge facility. Years ago Stan Babel CEO of Impact and Ron Hruska MPA, PT collaborated to create the very first PRISM pool. Christie Thames PT, DPT, HFS,PRC and Mara Brandsoy OTR/L, PRC played the role of host and this past weekend I presented Impingement & Instability which is one of my favorite courses to teach. We had two faculty members present Dan Houglum MSPT, ATC, PRC and Sayuri Abe-Hiraishi MS, ATC, LAT, CSCS, PRT. Dan and Sy are excellent presenters and I hope everyone gets a chance to take a course from them. I always learn from both of them and am grateful to call them my friends. We had a total of 8 PRC’s and 1 PRT in the class and they were all great with their input. If you don’t know about I&I, it is a class that coalesces the basic courses into a neuro symphony and teaches MORE on the “why” of Impingement. Why do people impinge and where? We take the time to deeply explain (sometimes more deeply than the attendee wishes 😊) the common sites of pain and the neuro-biomechanics associated with that pain. I cannot emphasize enough how helpful this class can be to your clinical practice and the class reviews were all really good! If you’ve been putting it off I can tell you that I’m teaching it again in July in Georgia and in September in NYC so go ahead and get registered ASAP and I will see you there. I can’t wait.

Posted May 24, 2018 at 2:38PM
Categories: Courses

It has been a couple weeks now since we wrapped up our 10th Annual Interdisciplinary Integration Symposium, but we are all still boasting with excitement over the two days that we had on April 19-20th! It was such a pleasure to host Matt Wallden and Phillip Beach, Osteopaths from across the pond who were our keynote speakers this year. Their clinical and educational backgrounds allowed them to expand on topics of tissue restriction, evolutionary and development factors, archetypal postures, and contractile fields relating to the symposium’s overall topic of “Postural Restriction”. Jacqueline Shakar blended her extensive clinical experience in assessment and treatment of the foot and ankle, with different methodologies, including PRI, Graston Technique, SFMA, and others, giving us all further appreciation of the role that the foot and ankle plays in restriction from the floor up and other areas of the body. Robert “Skip” George shared his personal journey as a chiropractor, the restrictions encountered within his profession and also some of the common clinical restrictions that occur in the cervical spine. Heidi Wise opened our eyes further to the role that extraocular muscles have on (or in response to) postural patterns, and possible restrictions that might occur with the EOMs. Pat Davidson took us through a fun journey reminding us how we have lost “authentic environments” that our ancestors thrived upon, and how this is influencing today’s healthcare and fitness industries. Ron Hruska got to further expand on chest wall restriction and the role of clavicle, hyoid and scapula position and alignment. His discussion on management of hyoid muscle ‘sling’ activity was brought to life with the ‘PRI Suprahyoid Sling Model’ that attendees received to help them further understand, and also educate their colleagues, patients or clients how mandibular and hyoid position/alignment influences suprahyoid muscle activity. And finally, it was an honor to have Gabe Adams speak, dance, and answer questions for our attendees on Thursday evening. His story (along with his father Ron) was more than inspiring, and reminded all of us that the thorax runs the show. With ribcage and thorax movement, you can walk, dance, and live life to its fullest!

While we are still boasting in excitement two weeks later, we are even more excited to be working on next year’s Interdisciplinary Integration Symposium topic and speakers. Save the date for April 11-12, 2019, and stay tuned for the topic and speaker announcements in the coming months!

Posted May 10, 2018 at 4:04PM
Categories: Courses

Hey PRI Nation!

This past weekend I had the pleasure of enjoying teaching Myokinematic Restoration at Indiana State University. Cody Inskeep, ATC who I met originally at a Pelvis Course in Seattle invited PRI back to his stomping grounds in Indiana, and I am very glad he did! This weekend's course was one involving learning on all fronts. We learned about muscles that move an acetabulum over a femur on one side compared to the other in the femoro-acetabular-ilio-sacro-pubic ring of bones and joints that affect position, balance normal asymmetry and allow us to optimize our gait and respiration. We touched on the fact that integration will involve muscular control of this pelvic ring to control both acetabulum and femur, what muscles in what position will assist in this venture, and toward the end of lab and lecture we discussed what we might consider learning if patients still have residual components of symptoms after acetabulo-femoral and femoral-acetabular lateralized control is established. This group was motivated and dynamic, attending for as many reasons as there were clinicians. Thanks Aaron Ford, DC and Canaan McClure for your story about why you attended your first course--a reference to PRI in a book by author Kate Bowler who noted PRI was the reason she could now fully function after a long span of ADL limitation, avoiding scheduled bilateral first rib removal. Thank you Sharon Wellbrook, DC and Tim Demchak, ATC for taking a weekend to learn principles of PRI that you can reference and teach your students in your respective learning institutions. Thank you Denny Wongosari, ATC, LMT among others for coming to learning functional strategies to allow your athletes to better perform. It was my pleasure working with all of these movement professionals as we worked to integrate Myokinematic tests, clinical reasoning and treatment strategies into their respective practices. Thank you Robert Pawlak for recognizing and initiating PRI science into your soon-to-be Orthopedic Surgery practice. Each of your stories encouraged this clinician-first faculty member with regard to the future of integrated medicine. Bravo!

 Thoroughly enjoyed lab sessions where Kelly (Kelly) Brock, DAT, LAT, ATC, Tim "The Beautiful Mess" Demchack, ATC, Wendy "PS I Love You" Schmidt, OT, former SD native Cara "Caragami" Lemon, ATC, among multiple others helped me demonstrate, nonmanual and manual techniques as well as theoretical principles to the class.

As a bonus this weekend, I got to visit the statue devoted of one of the greatest basketball players to put on short shorts--Larry Bird. The statue commemorates the 1979 ISU team that faced Magic Johnson's MSU for the national championship game and was soul food for this old baller. Also interestingly, I learned that Larry played one game of college baseball that year in an effort to increase attendance at ISU's baseball games--and it worked, of course. Thanks again Cody for your time, energy and for your insightful insider information on ISU history and thanks to each participant for making this course a blast!

Posted May 10, 2018 at 2:35PM
Categories: Courses

This past weekend I had the pleasure to present Postural Respiration to a diverse mix of new attendees and "veterans" of PRI at Pro Sport in Redmond, WA. I would rename this weekend "Superior T-4 Syndrome in Seattle" considering how many course attendees presented with this patho-mechanical respiratory compensation and asked so many questions about patho-mechanical rib kinematics as it relates to this subject! We had an opportunity to demonstrate in front of class at least four students that looked like they could possibly be patho-mechanical in terms of their respiration and body type.

One take away is you may suspect a positional issue but always test and retest. Two of the students demonstrated the definitive assessment of decreased left apical expansion after a Superior T-4 manual technique. Superior T-4 came up during discussion on Saturday and was a topic that came up often during the entire weekend on how to define, assess and then treat it both manually and non-manually. One of the students that had non-manual techniques provided experienced the left side of her body in a way that she expressed with an enthusiastic smile and a new place that she could feel and find in her body! In addition, she felt a bit "unstable" when she first started walking and liked it! Welcome to variability! She not only found neutral, but she experienced transitioning right to left side and back again, alternating and reciprocating, lateralizing and realizing what tri-planer position, gait and breathing is all about. What a lesson for all to see, experience and what it means to reduce the reliance on end-ranges driven by asymmetries, respiration and patterns driven by neurology!

The enthusiasm and new awareness of Superior T-4, especially for students new to PRI, was totally fun for all involved including this instructor! Thank you PRI dedicated veterans Erin Rajca and Michael Ball, both PT's and PRC's, for their help and knowledge.

This course was a joy for all with them in attendance providing energy, experience and caring. Thank you Cory and Amanda for hosting at PRO SPORT and all of your hard work! And shout out to all of the students in attendance for your most outstanding questions and persistence in wanting to understand PRI principles especially regarding Superior T-4.

Posted May 8, 2018 at 4:14PM
Categories: Courses
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