Postural Restoration Trained (PRT)

The annual PRI Credentialing Scholarship application deadline is June 15th! This $2000 full scholarship is available to candidates who may otherwise be dissuaded from applying for PRC or PRT credentialing solely by their current financial circumstances. To apply, please submit a scholarship essay sharing your story, your current professional situation, and why you feel you are deserving of the scholarship. Essays can be emailed to Jennifer Platt at platt.jennifer@posturalrestoration.com. All essays will be reviewed by the PRI Board of Directors and the scholarship recipient will be notified by July 15th. If the recipient of the $2000 full scholarship does not accept the scholarship and complete the credentialing application and testing within the year, the scholarship will be awarded to an alternate. Depending on the number of applications each year, the Board of Directors may choose to select more than one scholarship recipient.

If you have any questions with the PRI Credentialing Scholarship, or any questions with the PRC or PRT credentialing process in general, please contact me!

We are just a couple weeks away from the Postural Restoration Trained™(PRT) application deadline for summer testing. PRT summer testing is available once every 3 years to help accomodate Athletic Trainers and Strength and Conditioning Coaches who have expressed an interest in completing the PRT credentialing program, but due to the schedule of the teams that they work with, are unable to get away to attend the annual testing date in January.

PRT applications for the summer testing date are due on March 15th, and testing will take place on July 17-18th at the Postural Restoration Institute in Lincoln, Nebraska. Please note that there will not be an Impingement & Instability course offered in conjunction with this testing date, therefore all applicants will need to take this required course elsewhere prior to testing.  

Postural Restoration Trained (PRT) is a credential available to Athletic Trainers (with Certification through the BOC), Athletic Therapists (with Certification through the CATA), Strength and Conditioning Coaches (with CSCS Certification through the NSCA or SCCC Certification through the CSCCa, Certified Special Population Specialist (with CSPS Certification through the NSCA and completion of a Bachelor's degree or higher degree), and Exercise Physiologists (with Certification through the ACSM). For more information on the course requirements and to download the application, CLICK HERE!

If you are planning to apply for PRT, and have any questions, please email me!

Posted February 27, 2020 at 3:22PM

Beautiful weekend in Oakland California talking PRI for the frail, the immobile and the chronic with a super group of medical professionals at the Alta Bates Summit Medical Center. A huge thanks to our host site coordinator Shaun Buchanan for thinking of everything and making sure we had a wonderful weekend. Your hosting was amazing Shaun. Also thank you to Tim Dempsey, CSCS, CPT, PRT who assisting me this weekend as a lab instructor and made sure the group had a good experience.

 The night before the course was fun and relaxing for me because I got to attend a Golden State Warriors basketball game in the new Chase Center arena. I have been to several games in the historic Oracle Arena in Oakland, but getting to attend a game in their newly completed arena across the bay in San Francisco was an awesome experience. After the game, I picked up a souvenir that helped me teach the course the next day. It was a Matryoshka or nesting doll painted as one of my favorite players, Klay Thompson. Klay turned out to be great asset for giving the class context for rotational diaphragm performance, lumbopelvic rotation and contralateral respiratory rotation through the rib cage during transitional activities and gait. Who knew?

This PRI Integration for Geriatrics course does a great job assessing and making treatment recommendations for different aspects of the human gait cycle. The design of the Seated Gait Integration Test is to determine early to mid stance performance and the design of the Seated Eversion with Abduction Test is to determine late stance/pre-swing performance for the geriatric athlete. These components of upright performance are essential for dynamic upright balance activities, transfers in and out of the standing position and delivering efficient gait mechanics. Seeing the L AIC/R BC pattern in context with different components of gait allows the practitioner to make meaningful changes to gait deficiencies and upright balance and transfer problems. Preventing falls in these populations is by far the most meaningful thing you can do to preserve upright function.

Another powerful aspect of this course if the time spent on Functional Routines in the Home from both a patterned and a preferred standpoint. Thank you John Maynarich, OT for helping our class stay functionally minded throughout the course and for representing the profession of Occupational Therapy so well. You were right, this material is well designed for OT practitioners and should be an important part of all geriatric care. Our ability to make positive changes in daily functional routines really is the whole point, isn't it?

Lastly, I wanted to give a shout out to our 3 first-time course attendees in the class. Thank you Tom Borremeo, Christina Cherg and Fabrice Rockich. You guys were amazing. And thank you Carol Cahn, PT, PRC for personally bringing your friend and co-worker Tom to the course. As I said, you 3 newbies are VIPs from my perspective and it was an honor to cater the content of the presentation to your level of understanding as we went along. Thank you for being willing to ask questions and for the great class discussions you helped to generate. You literally are the reason the Affiliate program exists and we thank you for being there.  

This past weekend I travelled up to Cranston Rhode Island to teach Myokinematics of the Hip and Pelvis. Elite Physical Therapy was hosting their first PRI course! They had several clinicians in attendance and Ryan Toher, DPT was a great host. They were all new to the science of PRI as were 90% of the course attendees. This was a larger class with  45 clinicians in the room. I was joined by Miguel Aragoncillo, CSCS, PRT and Tyler Tanaka, DPT PRC as my lab assistants. They did a great job offering help during labs and comments from their experiences during lecture. The class was made up of mostly rehab professionals and strength and conditioning specialists. It was super fun meeting Tyler’s college friend Daniel Gardner, DPT aka “Gator” and helping him begin his PRI journey!

As hard as it is to be away from family and friends on the weekends and the rigors of travel, I am always excited to see the light bulbs and Ah Ha moments that new clinicians experience learning about autonomics, breathing and polyarticular chains as it relates to concepts of lateralization, habit and movement dysfunction. I enjoyed meeting my front row newly inducted PRI front row Trisha Livemore, DPT, Steve( CSCS) and Amanda Zariello,DPT, Valerie Perron, LPTA, LMT, Elizabeth Johnson, MPT, ATC and Anne Ruffus, DPT, CSCS.

A very special shout out goes to Gustavo Woff, PT who flew 15 hours from Argentina to take his first PRI course this weekend. It is so inspiring to be part of the PRI Faculty and watch it grow and spread throughout the world.  I am truly honored to be a part of the process.

On page 16 of the Cranial Resolution manual, there is a bullet I wrote that states ‘If we don’t balance rotational events through hemispheric oscillation, occipital alternation or lateralized rhythm, we remain resolved to compensate for our rewarded over-reaction and autonomic drive to repeat.’ 

Yet there were 14 PRCs, 1 PRT and the rest of the class who have taken a minimum of 7 PRI courses. Needless to say, they were “repeaters”. Their drive to continue to learn how to balance rotation with frontal oscillation is on a continuum. The host couple emulates this drive. Thank you Josh and Katie Olinick for hosting another PRI course in the manner you did. (The coffee was just a tad bit cold. Just kidding. I did not need the sugar. Your sweetness diffused into my body before my first sip.) Your hospitality and reception is truly reflective of “home”. Sangini Rane PT, PRC thank you for bringing a patient for all of us to evaluate and make suggestions reflecting autonomics and the course material. Everything about this course I love. The material has been strengthened over my last 30 years of clinical practice. And the messages are being delivered to a body of people who now can appreciate what my autonomic and somatic nervous systems were integrating 30 years ago, with a platform, called ‘PRI’. Any time I get a hug from Susan Henning PT, PRC I feel better than a cold cup of coffee. 

Austin! The Texas state capital. I traveled there to visit with the best little PT house in Texas! Star Physical Therapy. I was there to teach Impingement & Instability.  Jon Hupp PT, PRC is the owner of Star and he is a dang good clinician and a good man.  Many of you may know Jon but did you know that his daughter Skylar is an elite gymnast? She will likely get a nice scholarship as a result of her gymnastic skills. His son Sterling just started his senior year in high school football and has been doing some good playing so far! Jon’s wife’s name is Bear. Yes! Bear! I LOVE that! I met her and the minute I did I knew she was a nice lady and a kind person. She spends her time taking care of the kids and doing a ton of administrative work for Star. 

Speaking of a ton, this I&I class had a TON of participants!  Around 40. That’s a big class size for a secondary course but...well...Texas.  A dentist named Alice Lam dropped by the first morning to visit. I do some work with Dr. Lam in Houston and she is fascinated with PRI.  I&I is a complex course that explores WHY your patients have Impingement phenomena.  Did you know that they WANT to impinge? It’s neurological. That’s probably why so many veteran PRI clinicians were there. There were 5 PRC’s there: Jon Hupp, Steve Cuddy, James Guzman, Sarah Luin and Josh Elrod as well as PRT, Josh Ogden.  At the other end of the spectrum we had two PT students there. Both of them are my friends: Steven Blair and Phillip Wuellner. 

I&I explores calcaneal, patellar, hip and scapular Instability and the varied impingements that can and do occur as a result. Be prepared for multiple surprises when you take this class.  Some comments from this past weekend: “This changed how I look at the Hruska Adduction Lift Test!” “It changed how I consider the position of the heel as I address my scapular programs to decrease humeral glenoid mechanics.” Oh, and did I mention the ribcage? The deep-dive into detailed mechanics of the existing respiratory variations puts a massive neurological spin on ribcage-scapular function. Whew! I got a little crazy there for a second. Thanks Ron Hruska, for my mild derangement. I cannot WAIT to see all of you in this most fascinating course.

This image popped up on my "Facebook Memories" this morning, and it was perfect timing because I was planning to do a post this week with some tips for preparing your application for PRC or PRT credentialing. Eight years ago, I was practicing full time as a PT at the Hruska Clinic. I began taking courses when I was still in PT school, had an awesome clinical instructor Lori Thomsen for one of my final clinical rotations, and landed my dream job after graduation at the Hruska Clinic. I was surrounded by the best mentors ever, yet I must admit that I was a little scared at the thought of completing the PRC application and testing. However, having been on both sides (a scared and nervous applicant 8 years ago, and now the Director of Education and Credentialing running the show), I want to take a moment to share some tips and more information to ease your anxiety about the process.

Top 3 tips for preparing your PRC or PRT application:


1. Set aside larger chunks of time to work on your application.
When I first started my application, I was working on it for a couple hours at a time in the evening, or when I had a patient cancellation during the day. But, I found that by the time I would get my stuff out (all of my course binders, my case study patient charts, stacks of research articles, etc), and I mentally prepared myself to get started, I didn't have much time to get actual work done on my application. Therefore, I found my groove when I set aside a full Saturday (which is what this picture is representing from 8 years ago). I set up a table to work, had all of my course manuals accessible and I got major work done! I did this a couple more days over the next couple months and finished the application. It isn't too late to start on your application for this year, if you are able to dedicate a couple weekends to the process.

2. The review committee isn't looking for perfection.

The application review is a peer-reviewed process (PRCs and PRTs). Each application is reviewed by two members of the review committee for which you are applying (either PRC or PRT), and their recommendations are provided for review by Ron and myself. Based on their feedback, we then determine if the applicant is prepared for testing, and the applicant then receives the reviewer's feedback. None of us are perfect in what we do, and thus the review committee is not looking for perfection. Rather, they want to see your 'thought process' and 'decision-making' with the PRI concepts from the four pre-requisite courses displayed on paper throughout your application. Therefore, I would recommend that even if you look back at a case study or client program that you put together and think "wow, I would have totally not selected that technique now that I know more...." (that is fine), you can still use that case study, and at the end of your case study discussion, reflect on what you would do different now (and why....knowing what you know now, that you didn't know then).

3. The application in itself is an educational experience.

I hear this often when people are here for PRC and PRT testing, and I felt the same way myself. I learned SO much when I was preparing my application. It forced me to review content from the courses and find answers to questions that I still had myself. I vividly remember that I didn't fully understand the Superior T4 Syndrome until this day 8 years ago, when I went back and studied my manual, watched the home study course again and reviewed the manual techniques. I had an 'ah-ha' moment in preparing my application that day. The application made me reflect on my decision making process, consider what I might do different now, identify favorite techniques (which is difficult when there are so many), and it allowed me to realize how much I did know (even though there was still a lot I didn't know). This last one is important. Preparing your application is not an easy task, and it takes a lot of time, but it should give you a little boost of confidence (you are studying for the exam while you prepare your application), and that is the hidden gem. Last but not least, the feedback from the reviewer's is so incredibly helpful!

If you are considering applying for PRC or PRT, and you have any questions, please do not hesitate to reach out to me! The PRC application deadline (for testing in December) is September 15th and the PRT application deadline (for testing in January) is October 15th. 

I also plan to share more information and answer questions throughout the week on social media, so if you are on Instagram or Facebook, follow PRI and ask away!

Lastly, in case anyone was wondering how that triathalon went the next day (8 years ago), it was an experience that I have chosen not to do again, but I must admit I was not fully prepared for what I signed up for (it was a last minute decision and challenge with some friends)...but we survived!

Jen and I recently returned to the NATA National Convention in Las Vegas for their 70th Annual Meeting! This year we were joined by Hruska Clinic Physical Therapist and PRC, Jason Masek as he presented and contributed to a break out session on the first day of this Conference. We are always humbled by the unique interest voiced by the Athletic Training community and this year in particular, Universities throughout the country. As more and more Student Athletic Trainers, Graduate Assistants, Administrators and Professional Athletic Trainers introduce Postural Restoration concepts to their athletes, the desire to learn more continues to grow within these populations. Many attendees looked forward to taking further course work through the Institute or hosting courses themselves within their programs. Our PRI Japan Faculty was continuously mentioned by the Japanese Athletic Trainers in attendance and the impact that Kenny, Sy, and Takashi had on their peers not only during their time here in the States throughout their foundational years, but also through their Faculty roles as they currently grow PRI Japan, was voiced with high praise.

Jason intorduced our science through the "Prevention of Movement Patterned Conditions Beyond Competitive Years: Asymmetrical Movement Pattern Considerations". He and Jen fielded many questions by those who attended this talk, and led these individuals through a break out session of performing several PRI objective tests and Non-Manual Technique interventions addressing these findings. A special thank you to Mark Cairns, ATC, PRT and Jessica Tidswell, PT, ATC, PRT for their contribution in helping to guide and assist these techniques during this session. This introduction led even more traffic to our booth and many of those who received these concepts for the first time were eager to attend their first course. 

For those of you who were unable to attend but are interested in viewing the concepts Jason presented, his full Handout can be VIEWED HERE. We look forward to the continued growth of #PRINATION within the Athletic Training community and would love to answer any questions you may have!

What a group of course attendees that came to Postural Respiration hosted by Alta Bates Summit Physical Therapy in Oakland, CA! First timers really shined in terms of curiosity and questions to absorb the foundations of PRI. There were students that traveled as far away as Alaska, Hawaii and Washington State. The course started out with definitions. What is posture and how do you define it? What is neutral rib alignment in a dynamic, tri-planer context? What does respiration have to do with posture and alignment?

Skip George presenting Postural Respiration for the Postural restoration Institute

Skip George demonstrating thoracic rotation at a Postural Restoration course

The veterans with PRI were exposed to the new and revised Postural Respiration course and the feedback from them was really enthusiastic. One of the new attendees wanted just a little more lab time so he was chosen as the subject of a review of all of the AIC/BC tests Sunday afternoon. Non-manual and single person manual techniques did not get him inhibit is neurological system and at 3:45pm on Sunday, a little PRI magic had to appear! After all, it was the bottom of the ninth, nearly 40 pairs of student eyes are watching and is the student going to experience what it is like to be neutral for perhaps the first time since he was an infant? Taylor Lewis, PRT, a veteran lab assistant (And great guy who uses PRI with Cystic Fibrosis patients) assisted with a two person infraclavicular pump. This young athletic man who was demonstrated on was also a prime example of what one would imagine as having perfect posture on visual inspection (could even win an award for it!) standing nice and tall. Problem was, all of his PRI tests were positive and he was neurologically extended head to toe! After this two person manual technique was performed, all PRI tests became negative, much to his delight including class attendees and maybe even the course instructor! He sat up and said "I feel sooo good and relaxed!".

Lab demonstration at Postural Respiration course

Lab this weekend with testing, non-manual techniques and manual techniques was totally fun for everyone and was a great balance to didactic learning going from concept to experience and then having this last lab to send everyone home with as to what is possible when you just keep exploring treatment options with PRI techniques. Thank you Taylor Lewis, PRT, Carol Kahn, PT, PRC as my lab assistants but also thank you ,Tim Dempsey, PRT, for attending while also helping as a third assistant over the weekend. These courses take a lot of work by the host site. Thank you Shaun Buchanan, PT, Marcela Larrondo, PT, Joan Sheppard-Mellows and the rest of the supporting crew from Alta Bates Summit Physical Therapy.

90-90 positioning PRI

PRI Lab demonstration

That’s another course, for another time.”

According to Kristi Jagels MS, PT, PRC this is a statement that I have made at many of the past courses she has attended. And I believe she is correct. 

Cupidity, or the intense desire for possessiveness, acquisitiveness, and avidness, usually interferes with our respect for the process that clarifies our appreciation for incessant curiosity and pedagogic gratification. We all need to struggle with novel approaches, new relationships and unfamiliar applications. There were thirteen PRI certified and trained clinicians in this course, as well as many more attendees, who have remained altruistic and content with familiar application of PRI principles and were, hopefully, ready for “this course, at this time”. 

Ron Hruska discussing Airway obstruction at the Cranial Resolution course at the Postural Restoration Institute

More importantly, they hopefully appreciate that this PRI course, which is about human dysfunctional oscillatory patterned behavior, would not have resolved their discipline outcome based discontentment, without trusting a thalamic process that was outlined by PRI objectives offered by previous courses that were required for this course attendance. The tag line following the title of each of those required courses, as well as this course, is “An Integrated Approach to the Treatment of…”  An appreciable understanding of human patterns is helpful in building a cognitive framework for the interplay between Autonomic and Central Nervous system integration in “treatment”. 

Ron Hruska Discussing the

I believe the framework offered by the PRI Primary and Cervical Revolution courses guides this interplay. Clinical “integration” of the Autonomic Nervous System and the Central Nervous System, using PRI based concepts, can have a significant influence on clinical interdisciplinary design and outcomes. After reading the comments from these course attendees, I believe they have gained a better understanding of the magnanimity associated with the words “that’s another course, for another time”.

Cranial Resolution IS that course, and worth your time!

To see more photos from this course CLICK HERE

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