Techniques

It was a great weekend in New York teaching Pelvis Restoration. We had 48 clinicians attending the course and 13 were attending their first PRI Course….they made it! Pelvis entails positioning of the pelvic inlet and outlet coupled with muscles facilitation and inhibition with respiration. It’s a lot. I felt the class did an amazing job absorbing the material and asking wonderful questions. Edmund, Sebastian, and Romina your thinking and questioning benefiting the entire class, thank you. Frontal plane appreciation with synchronization of the respiratory and pelvic diaphragm were emphasized with demonstration. Nicole is your left ischial condylar adductor still burning? Geri, I hope you appreciated frontal plane of the left inlet and outlet to re-direct airflow into the right apical chest wall and left posterior mediastinum. Physical appreciation of PRI is powerful, thank you both for letting me teach throught you to the class. The weekend went way too fast, I appreciated everyone and their willingness to come and learn. Thank you Dave, Cuyler, and Brendan and Finish Line for hosting. Neal and Sean thank you for lab assisting! I was able to see the Rockettes in their annual Christmas show,  it was specatular!  Bucket List for me since I was young. Thank You again!

Posted November 27, 2019 at 5:41PM
Categories: Courses Techniques Science

Phoenix Arizona is a beautiful place to visit just about any time of the year, but early November in the Valley of the Sun is just about perfect. A big thank you to Jimmy Southard and the amazing staff of the LA Dodgers for hosting Postural Respiration, our flagship course. Also thank you to all of our wonderful course attendees and a special thanks to Aaron DeBord and Jim Wittekind for assisting me as lab instructors.

Postural Respiration hosted by the LA Dodgers, James Anderson, Postural Restoration Institute

The recently updated Postural Respiration course is fun to teach for many reasons. First of all, the research associated with the presentation on day one is comprehensive and clarifies concepts that have been fundamental to this institute since its onset. Emphasis on powerful PRI principles like Left Posterior Mediastinal Expansion, Right Apical Chest Wall Expansion, Autonomic Sense and Limited Functional Patterns take on new meaning in context with these newly included research articles.

Postural Respiration Primary Course, Postural Restoration Institute

Postural Respiration Manual Technique, Postural Restoration Institute

Another highlight is a new test to assess Standing Posterior Mediastinum Expansion. This group took the time to appreciate the the critical nature of this concept and to experiment with this new test and it really paid off. Many new ideas for utilization in a variety of settings were discussed and shared. Many eyes were opened up to what this institute has always been able to offer upright rotational performance and the autonomic variability for athletic performance and standing upright training activities. Fun to see and experience.

Standing Posterior Mediastinum Reach Test, Postural Restoration Institute

Thank you Jimmy Southard and thank you LA Dodgers! Always a world class organization with world class hospitality.

Posted November 13, 2019 at 4:27PM

FINALLY!  The long-awaited first offering of the PRI Integration for Pediatrics course is in the books!  James and I had a great time with 8 therapists who are new to PRI, including one pediatric Speech Language Pathologist and one pediatric Occupational Therapist. James did an awesome job making sure the new folks were understanding the PRI language and science, and the experienced PRI-trained clinicians and 7 PRC’s mentioned enjoying the review... there are always old concept to reconsider!

We unveiled the 8 component “Desired Sequential Movement” (DSM) reference guide to aid in treatment planning and exercise progression for 2 groups of pediatric patients, depending on their level of abilities. Of course, there were lots of fun photos and videos of adorable kiddos to entertain, enjoy and to help us teach. A big shout out to all my pediatric “models” who helped explain these fun, kid-friendly tests and techniques this weekend! And thanks to my home clinic, Advance Physical Therapy, Susan Henning, PT, PRC, Joe Belding, PT, PRC and crew for creating a comfortable environment with the best snacks around. And, last but not least a HUGE thanks to Danielle Wild who came in from home to help with commuter issues over the weekend!

See what others had to say about this inaugural course below!

"Last weekend I attended the first ever Pediatrics Affiliate Course written and presented by Lisa Mangino and James Anderson. I literally had been waiting all year for this course! It did not disappoint. My entire career I have worked with an adolescent to adult population. This is my comfort zone. In what appear to happen gradually, but then started smacking me in the face was the age of my patient was getting younger and younger. I have raised to 2 daughters, so I know kids, right? Wrong. I found myself challenged to switch gears from doing what I knew with adults and applying it to kids. The little wiggle worms do not like to lay on a table and have tests performed on them. They want to explore and play. I was at a loss. When I heard Lisa was going to be writing this course, I just couldn’t wait. Last weekend the wait was over and they did not disappoint. I left there with simple tests that I could use with my littles, as I like to call them. Cool fun techniques that will allow them to play and me to treat. What was even better is I can apply these tests to my “Big Littles” too. It really starts with Pediatrics. If we can begin to change their patterns young, we can prevent a lifetime of pain and compensations. Do not feel like you have to treat kids to take this course. I have maybe 2-3 on my caseload now, but feel I have the tools to help my adults too. Can’t wait to whip out my new toys and tools to help my littles. Balloons, bubbles, stickers, markers, games and puff balls! How fun!
James is an excellent mentor, I know first hand about that! The interaction and flow between James and Lisa was awesome. James sets the stage of PRI concepts in a simple way that I wish I had heard early in my PRI evolution. He is a gifted teacher.  Lisa is a humble, gracious teacher. I really could listen to her all day. She is knowledgeable, answers questions well and really is a gift to her patients, and now her PRI students. Sign up now, this course will surely be a sell out." - Jen Poulin, PT, PRC

"I have been asking for a PRI course focused on pediatrics for years, and this course was everything I'd hoped it to be, and more! An excellent introduction to PRI and the science if you are new to PRI, and serves as a thorough refresher for those of us who are familiar with it. I am excited to try out the new functional tests with my pediatric patients and I'm confident that they are equally as effective tests for an adult population. The names and modifications to PRI exercises for a pediatric population and thoughtful and creative. The cues and ideas for active play were insightful and can be applied to patients requiring a high level of assistance all the way to those who have the highest function. I feel some of the cues would even be beneficial for our adults to achieve proper positioning! I highly recommend this course for those working in a pediatric population, but I also know many adults that are "big kids," and this is helpful for those patients too!" - Sarah Luin, PT, DPT, PRC, BSPTS Schroth Certified Therapist (C1)

What a solid group of professionals attended the PRI Integration for Fitness and Movement course this past weekend in Fort Collins, CO.  


 
It was a sold out class! Jam-packed with fitness professionals, DCs, PTs, ATCs and Strength Coaches -  additionally all having a diverse background in PRI – some were VIP newbies attending their first course while others were certified in PRI or had 17-19 PRI courses under their belt. I’m grateful to bring these diverse backgrounds together and offer something for everyone! I was really impressed with how the VIP newbies were catching on to the science so quickly.

This weekend I focused on breaking down our “5 steps” to building core stability and tri-planar movement variability through a PRI lens. Day one focused on sagittal plane organization and obtaining to maintain a symmetrically balanced ZOA on each half of the body. Day two focused on building strength and function with good positioning and grounding, emphasizing unilateral work to keep the axial frame unlocked and integrated for contralateral patterns of rotation – gait, reaching, rotation, throwing, jumping, running. Day 2 emphasized a lot of frontal plane for “functional fitness”- I call the frontal plane, the most neglected plane in many traditional exercises programs. It’s important that people learn how to integrate, program, coach and cue this plane more intentionally to help clients break through plateaus and stay symmetrically balanced.


This course is lab intensive!! And we even got to take lab outside this weekend to enjoy some 80+ degree sunshine midday.  


 
Thank you to our PRC lab assistants - Karen Hoyt and Megan Bollinger. You guys were a big help, thanks for helping me out and guiding attendees to set up and cue positioning better!


Lastly, it was great to have many of the staff members from Rebound Sports and Physical Therapy there in attendance. Thank you all for your hospitality and hosting this weekend!
I think it’s great that a team comes together to learn, grow and collaborate – plus it supports learning and integrating PRI more effectively. Can’t wait to hear how you guys integrate the material over the next few months. I hope to get back to Fort Collins one day – such a cool outdoorsy town and I didn’t get to explore enough of it!
 
Till next year #PRInation! Look out for our 2020 schedule. The Affiliate Courses are a great place to start and refine your practice with PRI.

This past weekend, I visited one of my favorite places to teach PRI courses. The energy of  "the City that never sleeps" always seems to match the energy and enthusiasm for the science of PRI. This was my third trip back to New York to teach a class. On a personal note, it was great to bring my husband Chris and daughter Devon along again this weekend. We basically ate our way through the city and thankfully were able to walk most of what we indulged on off over the course of the 4 days! A friend and future PRT Kyle Langworthy’s brother Brandon Langworthy, DPT was attending his first PRI class. Brandon lives close to me in NC, so I look forward to seeing him again as well as the other attendees that were taking their first or second PRI course. I was also honored to be part of Kasey Aiken’s mentorship as she prepares to teach this course next year. I will let Kasey share her thoughts and experiences from the weekend. 

- Jen Poulin

From Kasey: "The class brought the energy from the city into the two full packed days of learning Myokinematic Restoration. With 80% of the class being their first PRI course ever, the questions and ability to learn and regurgitate the material was very impressive. We even had a DO that lives in Belgium fly over to learn the science of PRI. The combination of strength and conditioning specialists, PTs, and even PT students in the course is what keeps PRI applicable and beneficial to all different disciplines. They mastered exercises in lab to reposition the pelvis as well as strengthen the pelvis in the new neutral state. The attendees began to understand the correlation between the infamous Hruska ADDuction and ABDuction lift scores in regards to the gait cycle. Being able to tag team teaching with Jen Poulin was an absolute honor and appropriate considering she was the first faculty member to present Myokinematic Restoration to me several years back. A thanks to Brad Gillen, for assisting in lab, we couldn't have done it without your help and expertise to hit home for such a large group of attendees."

Posted September 30, 2019 at 4:13PM

“I have several cases I can apply this to already.”

“The course met the objectives to the full extent. Loved the course!”

“I am so glad I finally got to do a PRI course!”

“I learned a tremendous amount of information that my client base can benefit from.”

The physical therapy team of Charles George VA Medical Center hosted the most recent Postural Respiration course. This facility is considered among the top VA hospitals in the country, noted for its clinicians’ care and expertise. Surrounded by the splendor of the Blue Ridge Mountains, the 40 attendees, comprising PTs, OTs, PTAs, ATCs, DCs, and one student contemplated the asymmetrical diaphragm and its influence on pelvic-femoral and rib cage position and function. Movement starts with diaphragm, driving our lower half to one side while our upper half counter-rotates to the other. It’s a neurological concept, and it's what allows humans to be adept at things like throwing a ball, dancing, and doing flips and twists mid-air. Rib cages come in all shapes and sizes, formed not just by genetics but also by the activities a person engages in, positions they hold themselves in, and his or her unique responses to physical and emotional stress. However, regardless of rib morphology, every cage is under the influence of a powerful diaphragm that pulls it to the right, driving predictable patterns of air flow and movement. When not countered, and if skewed too far for too long, the result is pain, rib deformity, poor physiology, shortness of breath, anxiety, etc.

Lab time was generous to allow proficiency in PRI techniques, both manual and non-manual, and objective tests that indicate an individual’s neurological patterning and presence of pathology. Attendees experienced the power and swiftness of PRI’s neurological techniques -- inhibition and facilitation – to create changes to pathology-producing patterns. There isn’t a patient population out there that wouldn’t benefit from the PRI approach. Thank you to lab assistants Josh Owen, ATC, PRT, and Tracy-Lynn “I am SO ready to get my PRC” Schuster, DPT, whose guidance and clinical expertise provided clarity throughout the weekend. Great to see PRC clinics well-represented: Josh Olinick’s Steps for Recovery, Jen and Chris Poulin’s Sandhills Sports Performance, Advance PT, and Tracy Lynn’s Schuster Physical Therapy. Thank you to our avatars Debra Albrecht, PT; Nathan Crosby, DPT; Charles Fairbanks, PTA; Anthony Figuera, DPT; Linda Gutowski, DPT; Carl Heldman, DPT; Megan Humpal, PT; Caroline Lounsbury, ATC; Christiana Marron, DPT; and Pete West, DPT. Also thank you to our reader, Onyeamaechi Arinze, PT (my apologies again for botching your name all weekend. If we meet again, I’ll need to shorten it to “O”!). Finally, thank you so much to our hosts, who made the weekend go smoothly: Nathan, Anthony, Carol Harty, Deanna Mihok, Monica Sety, Keith Silcox, Pete, and Sharon Wisner. It was a pleasure to meet you all! Charles George VA will be hosting Pelvis Restoration in 2020. I highly recommend a visit to Asheville for this course. Be sure to treat yourself to a few days before or after the course to enjoy the gorgeous hikes and all that Asheville has to offer.

Posted September 27, 2019 at 4:59PM

It was another great PRI weekend in Santa Barbara, CA. Thank you Peter for hosting this past weekend. The breakfast burritos and fruit and your hospitality were amazing. The theme of the weekend was applying the science and concepts of PRI at the pelvis with patients with simplicity. Understanding these concepts and tests assist with making PRI non-manual techniques much easier with better patient outcomes. It was a great group of practitioners with a passion for PRI and learning. Many were attending their 3rd or 4th PRI course and we had three newbies in the group. Thank you for a wonderful weekend. I was humbled to be your "coach" for the weekend.

Posted September 20, 2019 at 5:33PM
Categories: Courses Techniques Science

Rosencutter Ultra Fitness, also known as Rosen-Cutting Edge Fitness, was the location of their second hosted PRI course this past weekend. Nick Rosencutter is always looking for a way to help his clients improve whether it is thru strength and conditioning, nutrition, the latest in soft tissue workand especially PRI as it applies to performance and rehabilitation. Rosencutter Ultra Fitness had six of their trainers in attendance including Nick and they have a team approach integrating PRI into client programming. Position prep is part of their programming to provide sense awareness for neutrality before, during and after workouts. We discussed this weekend that PRI loves extension for power and performance--we just don't want you to stay in extension. Equally, and perhaps more important, is the issue of rest and neutrality via flexing into neutral with adequate rib internal rotation.

The job of strength and conditioning professionals is to help clients and athletes become stronger, faster, more skilled at movement and especially durable whether you are a grandmother picking up grand kids or an olympic speed skater. Since this class was attended by so many strength and conditioning individuals, the issue of "saggitalization" was explored as well as the ability or inability to maintain or achieve competent transverse plane-ability in rotational sports. Since all sports require rotation for power and performance, the ability to orient a pelvis fully left and right then have adequate and full counter rotation of a ribcage is a must for what is known as separation of torso and pelvis.

Testing and non-manual techniques are always "ah ha" moments as they relate to position pelvis, femur, ribcage, scapulae and even neck. What is driving these positions in this course and the best answer when a student is called upon? The diaphragm of course! Manual techniques included the big three that we cover in Postural Respiration as well as a two person infra-clavicular pump that is often needed for a person that loves to stay in extension even after the best efforts via non-manual techniques to get them neutral. Also in attendance were physical therapists, a massage therapist and an ATC from Alaska who was travelling locally with the hockey team he works with. Shout out to Nick and all of his staff for their support and enthusiasm this weekend.

Posted September 19, 2019 at 4:05PM
Categories: Courses Techniques Science

Jason Miller, PT, PRC, was our host for Myokinematic Restoration last weekend in Missoula, MT.  Jason has been using PRI for quite a while, and this was a great opportunity for Jason's co-workers to get exposed to the science of PRI.  Nearly half the audience were from Jason's facility, which will really assist those new to PRI in their journey.  It's always easier to have co-workers along side for the ride.  My thanks to Marla, Seth, Samantha, Kristina, Kailey, Erika, Jessica, and Sydney, as well as Jason's wife, Jill,  for their willingness to learn and ask great questions.  

Dan Houglum, Myokinematic Restoration, Postural Restoration Institute, Primary Course

It was a great group of movement professionals, and a nice mix of those new to PRI, and those who had been exposed to PRI previously.  We started the weekend talking about positional influences on femur position and performance, as well as why and how AF position directs FA performance. We proceeded into which muscles are available and unavailable while in the L AIC pattern. This introductory 5.5 hours of didactic information is the foundation upon which the rest of our weekend was built. And it will provide a solid foundation for those new to PRI to build from as well.  

Myokinematic Restoration - Postural Restoration Primary Course

Once the groundwork had been laid, then we can start getting into the real value of PRI: getting off the right leg and onto the left leg correctly without compensation. The role the Hruska ADD and ABD tests play in that endeavor cannot be overstated. We were fortunate to have a lot of time to dedicate to these valuable tests. Additionally, we were able to experience, find, and feel inhibitory and faciliatory techniques, which allowed us to bring together both days of learning into a great time of lab.

Myokinematic Restoration - PRI Primary Course

We had a great crew of attendees. In addition to Missoula Bone & Joint group, I greatly appreciated Tim Cordial's questions, Amy Downing's help in lab, and Mandi Nystrom's willingness to be our volunteer during demonstration.

Again, my thanks to Jason and his crew for a great weekend. Looking forward to the next trip to Missoula!

“So much fun! Engaging. Good mix of presentation and active labs. Great course to start with if you haven’t taken a PRI course before – Loved it” – Dayna Briggs, DPT

“Hands down the most profound and career changing course I have ever attended” – Ali Asadi, NASM CPT, FMS Specialist, TRX Suspension Training, HKC-Russian Kettlebell Instructor, PTA Global CPT, I.F.P.A. CPT, I.F.P.A. Speed and Power Specialist

PRI Integration for Fitness & Movement, Postural Restoration Institute

PRI Integration for Fitness and Movement was presented this past weekend outside of Columbus Ohio at Good Bodies Personal Fitness and Wellness in Dublin. It was powerful to have a smaller group and for all to be reminded of how quickly results can be seen. We discussed key strategies to organize core performance, improve thoracic mobility and assure the abdominals are coordinated to support both the breath and trunk stability. With applying simple cues to empower the breathing system, reposition the diaphragm and thorax, and coach external cues to sense position and the ground, this group saw some powerful results in just 24 hours.

Postural Restoration, PRI Integration for Fitness and Movement

This course had more personal trainers and strength coaches than physical therapists and medical professionals. The group was open to paradigm shifts and exploration to learn some powerful practical principles they can use with their clients and athletes. It was fun to not talk pathology, focus on coaching position, keep it simple and get people moving in new ways. We tried out some new labs and am happy it all turned out successful!

PRI Integration for Fitness & Movement, Postural Restoration Institute

Thank you so much to the Good Bodies team for their fabulous hospitality and openness to explore this science together. I loved their model of teamwork and positive culture and I’m grateful for the opportunity to meet this professional group. Jack, Cheryl, JR, Heidi, Greg, Lisa, Toni and Kris - Thank you all and I hope our paths cross again in the future!

One last course on the schedule for this year: September 28-29, James and I will both be presenting in Fort Collins, Colorado and this class has officially SOLD OUT!

Posted September 5, 2019 at 3:33PM
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