Techniques

Timing is a tricky thing, isn't it? Difficult to measure. Tough to describe. Hard to master. But once you find timing, or timing finds you, it can dramatically change any outcome. Aren't we all searching for that nebulous and elusive thing called "timing"? One of the main overall goals of PRI is to improve neuromuscular timing to reduce patterned behavior. Timing is kind of like a unicorn with a majestic, golden mane; you know it when you see it.   

Last weekend it was my distinct pleasure to teach Myokinematic Restoration to 68 movement specialists, 45 of which were new to the science of PRI. We had 10 individuals in person, and two of them were my good friends Craig Depperschmidt, DPT, PRC and Jason Miller, PT, PRC, both of whom are new additions to our PRI faculty. We are lucky to have them. We had a group of 18 co-workers attending the live-stream together. It was daylight savings, which means we got an extra hour of sleep Saturday night. And we had a unicorn in our midst. We were fortunate to have had several unique events occur this weekend that I feel blessed to have all been able to share the experience with 68 friends, old and new.

One of our objectives in this course is to learn how to correctly interpret the tests and let them lead us into our treatment approach. Another objective is to understand how and when to use ligamentous muscle to stabilize an unstable hip capsule. For those of you who have taken this course before, you've experienced the lab portion on the second day, and we usually are able to get to around 7 or so PRI non-manual techniques. On this unique weekend, we were able to get to 15 techniques in lab. Part of it was the small class size during lab, but Craig and Jason were an enormous reason we were able to get to so many activities. It was just a unique experience afforded to those in attendance in-person and on the live stream. This extensive lab time allowed us to dive into the algorithms on pages 49 and 52, as well as the inhibition section of the appendix.  We used page 48 as a treatment flow chart, and proceeded through that page as a decision-making tree to help the attendees solidify examples of how to apply the science of PRI upon returning to their clients and patients. Do what the tests tell you to do. Reposition. Do page 39. Retest. Do what the tests tell you to do.

One of the best teaching examples for this course is an example of someone who fits the description of the algorithm on page 49, and the algorithm on page 52. Ron did this for me in my very first Myokin class in 2004, and it helped me remember how different these patients can present. It is pretty easy to find someone in the course during lab who presents with testing representative of page 52; however, finding someone who fits the description on page 49 is kind of like finding a majestic unicorn with a flowing golden mane. In 6 years of teaching this course I had only met one unicorn, until this weekend. Our unicorn's name was Brett, and he provided us with an exceptional example of how and why testing matters, and how testing helps drive the treatment decision-making tree on page 48.  

My thanks to all of those who attended on live-stream. Your questions clearly indicate you were engaged and were thinking ahead to future courses. Your questions were spot-on and I am looking forward to seeing many, many of you in future PRI courses.
 
My sincere thanks to Brett Shulte, Alison Janky, Savannah DeVault, and Angie Nixon. Your willingness to be our models for demonstration provided all of us with an exceptional learning experience. My thanks to RJ for his excellent production of our live stream, and to Jason and Craig for keeping me honest and helping us get through as much lab as we did.  

So, to recap......
Fantastic in-person and live stream audience. Excellent questions all around. Unbelievable lab. A splendid unicorn. An extra hour of sleep.
Timing is everything.  

Posted November 18, 2021 at 6:50PM

A few days before I was to present Postural Restoration, I reflected back to the number of times I had taken this course during my 17 year journey in PRI. We were fortunate to have nine movement specialists taking their first PRI course, and with the exception of two attendees, no one else attending the course had attended Postural Respiration previously. Since it was almost everyone's first voyage into this course material, I wanted to really focus on two topics that had escaped me in my previous attendance of this course: what/why/how surrounding Superior T4 Syndrome, and why do the R low trap/tricep and L serratus anterior/low trap hold such high significance in PRI for management of the BC pattern.  

We had lively discussion surrounding human asymmetry and how that asymmetry feeds into patterned respiratory mechanics, as well as the potential detriments of patterned breathing. Once we had the foundational concepts secured, we could move into the prevalence of the R BC pattern and what tests we could use to determine if the R BC pattern was overactive. Using the algorithm found on page 48, we were able to walk through manual and non-manual treatments, as well as spend a lot of time defining why and how Superior T4 Syndrome presents itself, and how to uncover the presence of Superior T4 Syndrome as a pathological, or "phony", respiration strategy.   

Algorithms are used frequently in PRI as a means to learn and improve ones ability to apply PRI concepts, particularly if the learner is new to PRI and the science behind it. Again, using page 48 as a backdrop, we were able to progress through why the R low trap/triceps is a necessary piece of R BC inhibition, but also why the L serratus anterior/low trap are necessary for security after proper management of Superior T4 Syndrome. We were also able to spend time in lab going through several of the non-manual techniques that support the manual techniques presented in this course. Since inhibition is such a huge part of PRI, we were able to focus on several non-manual inhibition techniques surrounding those individual who present with B PEC or B BC findings.

Being able to present this course in the clinic I work in with fellow PRC, Donna Parise-Byrne, was great. It was also rewarding to have fellow PRC, Jill Maida, in attendance as well. My thanks to Gail Trubow, Brock Mitchell, Anne Farkas, and Heather Pappas for their help during labs and asking great questions. We really had many great questions and dialogues over the course of the weekend. Thank you to all who attended the course as we took every precaution possible to ensure everyone felt safe, while still receiving the course content at a level that each individual needed.

Posted September 14, 2021 at 3:36PM
Categories: Courses Techniques Science

For many of us who have taken PRI courses over the years, Lincoln, Nebraska, often becomes a home-away-from-home. This has been particularly true in the last two years with the inception of PRI live-stream courses. It has been such a blessing for PRI to reach so many people via live-stream. In total, we had 78 people attend Impingement and Instability, with 20 of those having attended the course in previous years. However, only 5 individuals had attended the new and upgraded version of I&I before this weekend. Having six people live and in person was such a gift. It was an honor to have 11 PRC's and PRT's in the audience as well.

This course is a clinician's course, and we are able to make a lot of connections and links between several PRI courses in one weekend. Yes, this is a dense course with a lot of great information. The advantage of the live-stream is that all the attendees received the recording of the course for two weeks to listen to the material again. The ironic part of the "new" version of I&I is that a lot of the material is unchanged; the context and neurological links between the floor on the ground and the "floor" under the scapulae are significantly changed. This allows the attendee to further appreciate the "why" and "how" behind non-manual activity application and selection.

   

This course is dripping with neurology and is a gateway for the attendee to attend the PRI Forward Locomotion Movement, Cranial Resolution, Occlusal Cervical Restoration, and the new Voice Box course. We build off the three PRI primary courses to delve into how to apply those basic concepts using a higher level of decision making based on a neurological sensory framework. Hopefully, we were able to provide the attendees with that appreciation and help prepare them for future PRI courses.

My thanks to RJ Hruska for orchestrating the entire weekend. He was very helpful to me, and made my job much easier. We got so many great questions over the weekend, and we were able to answer most, if not all, of them.  And having six people live in the building provided an additional layer of questions and feedback. My thanks to Benjamin Sandman for his help with our calcaneal sensorium demonstration. He said it perfect when he said he was surprised at how much better he could sense the ground under his L calcaneus even after the demonstration was over.  

It was truly and honor to have attendees from 14 countries. It is amazing to think that this technology exists, and I am very thankful that fellow movement specialists were willing to spend time with us, even from the other side of the world. Even though most, if not all, of the 72 of the live-stream attendees were in their homes, it was comfortable for me as well to be in my home-away-from-home and spend some quality I&I time with so many like-minded peers. 

Posted August 26, 2021 at 4:19PM
Categories: Courses Techniques Science

This workshop was a first for Jen Platt and I. Opening the workshop with discussion on corollary consequence, correspondence and compensation allowed us to “look” at the top-down influences of PRI Corollary Movement in each of the 12 secondary and tertiary techniques that Jen chose for us to cover. She did a great job in organizing these techniques, laying them out and selecting techniques that offered the attendee a wide perspective of application. Normally, we do not list testimonials after a course.  (You can find testimonials by courses by going to the ‘Programs and Courses’ site on our website).  However, after reading the feedback that Hannah compiled, I felt it would be helpful for those who may be interested in taking this course in the future, as well as to read what the ‘first-time’ attendees had to say about it.

 “I have already listened to at least 60% of the course material. I cannot tell you how much it helps to have the content available to go over again. This course put so many things together in regard to patterning. There were so many lightbulb moments into why things may fall apart for the patient at home with their exercise program because of the brain influence in regard to patterning. The word sense is so different than finding and feeling. Sensing something different in the body especially when sensing one thing can help the patient sense another area is HUGE in regard to making a program successful. Walking away from this course has had one of the most dramatic effects on putting the whole picture together, especially with the ability to go back and review it again. I hope that you can continue to offer the courses on zoom. I also wonder if any of the other recorded courses that were offered through zoom could ever be available as a take home course. It is nice to have that available as an option. Also wondering if Ron was ever going to put all the 33 corollary exercises together now that we understand the corollaries. I know that the other exercises are from other courses but we never had the corollaries with them. Thank you again for everything you all do!!!!”

“This course will allow me to progress all of my clients over the coming months and was a fantastic guide in sensory integration that I felt was a missing puzzle piece.”

“I have learned it in neuroanatomy but only in an abstract manner - now it becomes more meaningful for my work. Thanks!”

“I've always known the importance of multi sensory "sense", but this took my understanding a step further for sure”

“It feels like this course was a missing puzzle piece in my application. This made it much more straightforward to progress and cue clients”

“1. Greater confidence with technique selection 2. Deeper understanding & appreciation re: critiquing and cueing for a clients understanding of both positional and integrative sense”

“This course material will likely allow me help clients move to a higher level of motor learning much more efficiently and with less cognitive load (corollaries > references) especially in a fitness setting, but obviously also with rehab clients.”

“This is one of the MOST relevant courses offered by PRI to my area of practice in my opinion, moving away from more "attention intensive" movement practices towards integrated sense of corollaries will allow all of my clients, from pro athlete to rehab, to experience and sense the task at hand rather than trying to juggle a more cueing intensive task.”

“Thank you again for supporting the growth of PRI nation. We love you and this course was fantastic. When entering a black hole, one needs a guide named Ron Hruska. I can feel the effort, the labor of love, the hard work that has been put into this course (and all other courses). Thank you PRI team for continuing to lead the way. You inspire me to be better. Much love from Alpine PT in Seattle.”

I could not give this course, the way it was presented, without the direct input, production, and guidance that Jen provide both me and the audience. So grateful for her many roles she plays in this Institute, but now, because we know each other so well and the overall intent so well, the delivery and message is seamless, sincere and solid. This truly was the Institute’s first multisensory movement workshop that reflected the strength of the corollary movement sense needed for natural cognitive processing built around vestibular-ocular reflexive correlations. We also could not have made this workshop the ‘virtual reality’ workshop it was without the live presence of Amy Morris, PT, Phil DeNigris, CSCS, Rua Gilna, CPT, SFG1, PN1, and Dave Drummer, DPT, PRC. Their patience with my Socratic style of teaching and their willingness to objectively communicate what they felt, sensed, experienced and struggled with made multi-dimensional processing understandable and appreciable.

Thank you again for coming to Lincoln and participate in the manner in which each and every one of you did.  

Posted June 22, 2021 at 8:31PM
Categories: Courses Techniques Science

It was a wonderful weekend teaching a Pelvis Restoration as a “hybrid" course. Teaching to professionals attending the course in person and through Zoom was exciting and humbling. Thank you to everyone who attended. Your desire to learn and passion for the Science of PRI is amazing. We had great questions and interaction through both forums this past weekend. We had energy. We had passion. We had a desire to learn. I felt an improved understanding of the “external” support of the pelvis with tri-planar movement (especially the frontal plane) was understood at a deeper level for improved regulation of internal pressure and airflow. I felt course attendees appreciated the PRI objective tests and how they can assist them clinically to improve PRI Non-Manual Techniques selection for patient treatment. I also felt in insight was also gained in not only “re-positioning” the pelvis but then “re-training” that pelvis for left stance and right swing with our goal to “restore” for reciprocal and alternating movement.

We were “world-wide” this past weekend with course attendees from all across the U.S. and internationally. Thank you again for all that came. It was great to teach as it makes me a better clinician.

Posted April 21, 2021 at 4:36PM

After almost a year to the day of the country shutting down, this course marked a refreshing beginning to some normalcy with teaching PRI Myokinematic Restoration again. We had at least 50 participants virtually with attendees in and outside of the U.S. ranging all the way from Canada, Slovenia, and the UK. We had 9 in person attendees that made the trek to Lincoln and served as the “models” for our myokinematic lab portion.

We began the first morning with didactic material learning all about the patterns of the L AIC. This  included non pathology and pathology discussions in relation to the compensatory demands of the femur in the acetabulum. Respiration demands, underlying neurology and asymmetry helped to shape and understand the reasoning behind the L AIC pattern.

The weekend concluded with an ample amount of lab and hands on time, learning to assess position of the hip, compensatory findings, and frontal plane performance testing with the Hruska ADDuction test and Hruska ABDuction test. The attendees then went through myokinematic techniques to restore and retrain pathomechanics of the pelvis.

We had several thought provoking questions and the enthusiasm was great from the group and could be felt even virtually!

Posted April 1, 2021 at 4:58PM
Categories: Courses Techniques Science

The Midwest started warming up to a balmy 22 degrees on the way to reaching almost above freezing on Saturday morning for the first Postural Respiration Live/Live Stream course this year. There were seven live attendees some of whom drove over 5 hours on slick and icy roads to take their first Postural Respiration course while almost 40 others from all over the country, and even internationally from Slovenia, attended this course. Ron and I had a discussion the day before I taught and it was a real inspiration to be able to emphasize to the new students the concepts of not just rib movement and diaphragm function but the importance of pressure and flow inside a chest wall and how that not only affects position and posture but every system in the human body. We spend a lot of time on the orthopedic consequences of neurologic patterns in this course but it is what is inside the chest wall in terms of how we direct air into chambers and how that affects whether ribs move up or move down, and torsos left or right as a critical element of Postural Respiration and all PRI courses. The Posterior Mediastinum has become more of an emphasis than ever before along with the role of the first rib in initiating the lifting of the rest of the ribs below it during respiration. This class really got the relationship between the right apical chest wall and the left posterior mediastinum with the role of how important inhibition to these chambers of the chest wall is.

One of the non manual techniques we focused on was the Standing Serratus Squat and the importance of learning how to perform it. This is one of PRI's more difficult positions to competently perform and that there are often precursors, especially with reaching and squatting techniques, to help facilitate this most important technique. Just because it is challenging to perform doesn't mean that students shouldn't master it and then teach their patients. This is one of many techniques that help strengthen an individual's diaphragm and give them a "sense", which was one of the key words of the weekend, of thier ribcage moving backwards!

And for forward locomotion, that is, to move forward, one most move a ribcage back! Questions came in fast and furious which is a delight for instructors since it helps to gauge where the attendees are in their understanding and to reinforce and repeat concepts that are needed to provide a good foundation to understand this course well enough to begin to apply. The students in this course were helping teach Postural Respiration by their re-states and questions with energy and enthusiasm. Shout out Meghann Vanslager and Jennifer Bacon who drove from Kansas then had a 5 hour drive home with work the next day! Thanks to Ian Katanec for being on a 9 hour time difference in Slovenia and everyone else that spent their weekend with us as over half of the attendees that were either brand new to PRI or first time attending Postural Respiration. Most of all, thanks to RJ Hruska who was my wingman performing audio and visual expertise with changing camera angles for lab and keeping things going smoothly during these virtual attendance times.

Posted March 3, 2021 at 9:07PM
Categories: Courses Techniques Science

There are four kinds of documentation that most of us use to change our behavior:  
1)  Learning oriented tutorials.
 2) Goal oriented how-to guides.
3) Understanding-orientated discussions.
4) And, information-oriented reference material.


Each of these four types of documentations usually have instances within the document that refers to related information elsewhere in the same document. This is important as it forms a network structure of relations that exist between different parts of data, dictionary-internal as well as dictionary-external. If the cross-reference mechanism is well designed, visibly or technically, the reader, and in this case, the course attendee, will be able to follow each and apply ‘cross-reference’ event, to the referenced content whether the content is presented visibly or technically.  


The last example, of the four listed above, enhances usability and application of content in each of the PRI Non-Manual Techniques. Documentation or description that identifies direct reference and referent sites of consistent interest; is required so documentation that indirectly implicates cross references from these and other discrete or unconsidered sites can provide content-strategies to meet the desired needs and expectations, from both the provider and the participant.


As the author of these techniques, and as the author of cross-referencing design associated with each technique, effort to ensure that location and content of the target of the cross-reference in each technique needs to be consistent, regardless of the aptness of the provider or the participant.  


These opportunities to provide my reasoning behind each of the techniques, that were selected by this course’s participants, are not exceeded in any other course offered in PRI. Therefore, the guidance I offer to answer questions on the ‘why’s, ‘when’s, ‘who’s and ‘what’s regarding each technique’s reference’s, referent’s, and cross-reference’s content, is an absolute unique opportunity for both the author and the attendee seeking behavior modification through documentation that is resourcefully dissected at a level that is unsurpassed in this Institute.  Each technique (documentation) dissection experience is truly one of the most rewarding things I have done in my life.  And I am grateful.

 
I want to thank Dan Houglum, Torin Berge, Dave Drummer, Jen, Hannah and RJ for their assistance in making this course so enjoyable to teach and apply to “real” life limitations and likenesses.

Posted February 4, 2021 at 4:18PM
Categories: Courses Techniques Science

What a fun experience it was to be able to connect with the 37 participants from last month’s live stream pediatrics course! With the new format, we were able to reach attendees in Japan, Canada, Poland, and India! James and I also brought the PRI science to 6 new (“VIP”) clinicians! Further, the audience was made up of yoga instructors, OT’s, personal trainers, and of course, PT’s. The participants seemed to enjoy the many videos of PRI treatment with children of all ages and all skill development levels. We were even able to do some demonstrations with kids! A special shout out to Jen Platt, Nancy Hammond, Libby Lostetter, and anyone else who let us use your children for a spotlighted kid demo! And the adult attendees who participated in demonstrations were also greatly appreciated as it brought a nice richness to the learning experience.

I’ve since been in touch with some of the attendees to see what they thought about the new format and a common comment is how nice it is to have the recording of the class for 10 days following the weekend to go back and review and refresh! It worked out so well, we are planning another Live Stream for August 28-29, 2021 with hopefully a couple in person courses as well. Check out the schedule, and tell your friends! Lastly, huge shout out to co-presenter, James Anderson, producer, RJ Hruska, as well as to Hannah Hankins and Jen Platt for all of the scheduling, manual edits and production, technical help and behind the scenes planning that putting a course like this together requires! And last but not least, thanks to Ron Hruska for the genius foundation! Hope to see you in 2021!

Teaching the Geriatrics Course via live-stream was awesome for a number of reasons. First, it was great to be in Lincoln Nebraska in person at the Postural Restoration Institute. You take something like that for granted when travel and human interaction is restricted the way it has been. I love being at the institute and associating with their staff because it reminds me of coming home to good friends and family. So good to see Hannah, Matt and Jen and to spend time getting caught up with all the fun events in their lives. It was also super great to have Jen’s expert assistance as the producer of the entire course experience. I couldn’t have done it without her and the amazing AV technology and teaching environment available at the institute. Thank you so much for ensuring that things went so well for the course attendees.

A second reason the course was awesome is that these live-stream courses give the instructor more time to discuss and practice the actual exercise techniques. The break out lab sessions to practice testing and treatments in traditional live courses become individualized learning sessions that can be taught very efficiently via live-stream. Not only are the tests and treatments taught more efficiently, but the recording of the course is available to the learner for further review at home after the course to solidify the learning experience. So I was able to teach, demonstrate and guide the course attendees through more of the actual exercise techniques with this new learning format than I am normally able to.

And the last reason the course was awesome was the actual course attendees and the things they had to contribute. We had a broad range of professionals from all parts of the US, across Asia and Europe. We were all together at the same time, irregardless of time zone, and shared in one another’s learning. There are too many of you to thank, but please know your attendance at the course and your contributions made the experience much better for all of us. The questions you asked via live discussion and via chat submission, together with the many comments shared throughout both days made the course especially fun for me. Thank you everyone and I hope the additional review days after the course proved to be a strong addition to your overall learning.

Posted July 28, 2020 at 8:43PM
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