Postural Restoration Certified (PRC)

Minneapolis, Minnesota at Impact Physical Medicine and PRISM Aquatics Center. That’s where I spent this past weekend teaching Cervical Revolution to a group of 34 movement specialists who had a profound interest in PRI and the myriad compensatory strategies that humans develop to manage the neck and head. Stan Babel, the owner of Impact, is a powerhouse and a truly dedicated fan of PRI and goes way back to the early days of PRI. He worked with Ron long ago as this science was being first brought forward. He and Ron built the first PRISM pool in the world at Impact and it is still going today. Christie Amundsen PT, DPT, HFS, PRT and Mara Brandsoy OTR/L, PRC helped me get settled in and assisted me with our labs. Those two are just about the best and listening to them talk with course attendees and with Stan made me feel like one of the family. I always feel so welcome there. The Impact crew really knows their stuff.

This Cervical Revolution class is such a game-changer for so many attendees and it can be for you as well. Did you know that cranial strain patterns as identified in the literature can and are frequently reduced through breathing techniques? Did you know that those same strain patterns are the result of cervical spine positioning? Did you further know that dental integration with PRI certified clinicians is an excellent mechanism for reduction of cervical patterned movement (or lack there of)? Did you know that dentists regularly attend PRI courses? This is because they realize that PRI provides them with the absolute best mechanism for aiding them in understanding the complexity of their neurological oral appliances. Our courses also arm them with understanding of a wide variety of other oral appliances as well! It is our hope that you will discover these exciting and new ways of learning the complexity of the human body as it relates to asymmetry. I hope I see you soon in a Cervical Revolution class. You’ll be glad you attended!

I am excited to introduce "The Postural Restoration Podcast" with #PRINation! Many of you may be familiar with our featured interviews, and you may have even been highlighted on one in the past. We will now be using this Podcast for our Featured
Interviews
as a way to better familiarize the general public with not only our Faculty but also our Certified Providers. Check out the description of the first episode below, and I promise that not every episode will be this lengthy!

PS. Make sure to check out the History of PRI - The Foundation of the Postural Restoration Institute (August 2008) written by Ron in 2008, to discover how far we've come over the past decade!

Episode 1: The Foundation of the Postural Restoration Institute

"Welcome to the first episode of the Postural Restoration Podcast! In this Episode, I am joined by Founder and Director of the Postural Restoration Institute, Ron Hruska. The foundation of the Postural Restoration Institute resulted from many years of Clinical Practice and a strong interest in the patterns and positioning that at the time seemed to be the cause of many patients’ pain and dysfunction.

Ron discusses his time in Graduate school pursuing a Master’s in Public Administration after receiving his Physical Therapy degree from the University Of Nebraska Medical Center. His time working at the V.A. Medical Hospital as well as his eventual role as Director of Physical Therapy at St. Elizabeth's Hospital in Lincoln, NE both played roles in his desire to look at and treat the human body through a multidisciplinary, systematic approach.

This led Ron to create other ways of treating patterned dysfunction, initially through the use of the first “Re-Positioning” device called Protonics. Although Protonics looked and seemed to function to many in the orthopedic world as a Patello-Femoral “Brace”, it was actually much more. Using this device allowed him to "Re-Pattern” bi-lateral chains of muscle and look at orthopedics from a Femoral-Patella lens.

Eventually this device left Ron with the desire to move into the private practice setting, in order to dedicate more time to roles with the APTA Association, and more time dedicated to learning and discovering further ways to develop his ideas. Protonics allowed him to connect with and teach other clinicians, including some of the first PRI Faculty members. Following the creation of the Hruska Clinic, Restorative Physical Therapy Services in 1999, Ron worked with fellow Physical Therapist Jason Masek and others to create some of the earliest PRI Non-Manual Techniques.

As this science continued to grow, PRI Director Janie Ebmeier was put in charge of helping to develop what would become the first Postural Restoration course which would later be renamed to “Postural Respiration”. With the foundation of the Postural Restoration Institute in 2000, other courses including the "Influence of the Pelvic-Femoral Complex" which was later called Myokinematic Restoration was a quick addition. We now are proud to offer more than 15 different courses, which have been developed to build upon these three Primary Courses

I welcome you to join us on this journey as we continue to explore how the creation of this science has changed the way coaches and clinicians approach the treatment of the human body."

The Postural Restoration Podcast
 

A great weekend in Chicago at Pilates Central with Donna Byrne, PRC and her awesome team of Physical Therapists, Athletic Trainers, and Pilates/Yoga Instructors. Dan Houglum, PRC served as a capable lab assistant and the entire Pilates Central Team were warm and welcome hosts. Besides Donna and Dan, we were grateful to have 3 other PRCs in the course: Jesse Ham, PRC, Alex Maag, PRC and Jill Maida, PRC.

Pilates Central - PRI Integration for Geriatrics Course

Of the 32 people in attendance, 4 of them were first time attendees, and we had fun getting to know them. When you attend an Affiliate Course as your first PRI course, you are an instant VIP and we make sure you feel welcome and that you are not left behind on any of the new concepts. We checked in regularly with the first timers and we were able to stay on track for them throughout both days. In fact, as it turned out, these 4 VIPs ended up having some of the best questions and concept summaries of the entire group. Yes, I'm talking about you Candis. You made Rapid City, South Dakota proud (even though I know you are a transplant). Beyond tailoring the course to first timers, it was great to also expand on some interesting principles for those with more PRI experience. Always fun to keep it simple and also strengthen the experienced.

James Anderson, PRC Instructing a PRI non-manual technique, PRI Integration for Geriatrics course

 The group was grateful for the simplified explanation of AIC patterned development, ZOA acquisition, lateralized frontal plane performance, integrated upright standing dynamics, and gait performance. The use of the PRI Integration for Geriatrics Tests in sidelying and sitting provided some great assessment options for the immobile, frail and chronic, while keeping our focus on gait deficits specific to each side of the body. The Positioning Techniques, the Group Exercise Techniques, the Functional Routines Handout and the appendix full of useful Geriatric exercises were a big hit. The functional bed, recliner, seated, transfer and standing sections in the appendix were a great resource for clinicians working with this type of patient.

James Anderson, PRI Integration for Geriatrics Course

Besides there being 6 PRCs in the room throughout the weekend, there were many in attendance who had been to several PRI classes and had lots of experience using traditional PRI tests and techniques. One of my favorite things about the Affiliate Courses is that they provide a fresh approach and innovative ideas, even for seasoned PRI practitioners. I was reminded of this fact when I received the following message from a fellow PRI Faculty Member and PRC and good friend Jesse Ham: "James, clinically, I am loving the ability to achieve left laterality into the back seat with the posterior mediastinal feel/sensation in seated and being able to reposition a pelvis in hook-lying with alternating respiration. Thank you for adding layers of understanding to what I already knew and appreciated about PRI." You're welcome.

Having the opportunity to discuss the role of the hypothalamus and integrated thalamic function as they relate to autonomic patterned respiration, physiology, posture and central nervous system compensation, was an enduring dream of mine. I could finally, deliver a course that describes how our autonomic and central nervous systems operate with and from  biased cerebral and cerebellum lateralization, hemispheric specialization, and oscillatory compression and decompression.

Ron Hruska demonstration during Cranial Resolution in Seattle

Over two decades of literature review, clinical application, multi-disciplinary experience and evidence based outcome methodology, built with the help of an Institute I started for these course objectives, fulfilled me in ways that are very difficult to express. I trusted an idiosyncratic educational process that challenged me as a pre-dentistry student. A clairvoyant process that required collegiate patience, faith in humanity and belief in our holistic, biological and neurological system. I appreciated the 41 course ambassadors who also trusted this process. I hope they came away with a sense of how we patterned humans resolve to make sense of what we don’t sense through pattern compensation of air flow, fluid movement, and cavity fluctuation as it relates to ischial and occipital (sacral and cranial) rhythm and thus autonomic processing. 

Christopher Murphy at Cranial Resolution, Alpine Physical Tehrapy

Cranial Resolution Course Attendees, Seattle, WA

This course was strengthened by the input and participation from too many people to list here, but I especially appreciated the support from Erin Coomer DPT,OCS, Laurie Gribschaw PT,DPT,ATC,AT/L,PRC,  Janine Peacock DPT,OCS, Paige Raffo MPT,OCS and Kelly Martin PT.  I could not have asked for a better audience and support group.   There were many reasons I wanted to give this first course in Seattle but three of those reasons are Christopher Murphy DPT,OCS,PRC,  Jeremiah Ferguson DPT,OCS,PRC, and Eli Zygmuntowicz DPT,OCS,PRC. These three men are absolutely the embodiment of family. I will always be grateful for their warmth, charismatic charm and pedagogical approach. I had so much fun and look forward to the next opportunity to talk about pendular parasympathetic process. 

Alpine Physical Therapy

Jen and I had the pleasure of returning to the APTA Combined Sections Meeting this year in Washington, D.C. Years past have provided us great discussions with both Physical Therapists and Physical Therapy Assistants as well as Students who are seeking these professions. This year once again proved the value of our attendance and allowed us to inform many individuals interested in the science of Postural Restoration. It is so re-assuring and invigorating to be able to discuss our science with those who may not have been exposed prior to attending.

The Combination of both PT students and seasoned Physical Therapist's provided a myriad of conversations and allowed us to connect with both sides of the spectrum. Many faculty members from various institutions and organizations asked passionately about our science and wanted to be better at introducing it to their students. Many students asked passionately about finding a PRI Clinician in their area for mentorship and clinical experience as they complete schooling. Interests in specialization areas continues to grow and we were excited to discuss our Affiliate programs in Pediatrics, Geriatrics and all others with those who find interest in these populations.

Shortly after a discussion regarding our PRI Integration for Fitness and Movement course we were surprised to see a familiar face come across our booth! Little did we know Julie Blandin was in attendance and literally ran into us amongst the crowd. What a great surprise!

Although running into a PRI faculty member was unplanned, we were lucky to have several PRC’s and PRT’s reach out to us as they learned of our stay in the area. On day 2 of the conference we received another surprise as our dear friend and PRT Navin Hettiarachchi sent us a text. “I don’t know how but I have found 3 tickets for you to tonight’s game!”, we had discussed possibly meeting up with Navin but due to the Golden State Warriors coming to town we all thought it would be difficult to find tickets. Although we loved our first NBA experience it was perhaps more fun to see Navin in action with the team. He is a true gift to any organization, as his smile is infectious and his care for his players is unmatched. They are lucky to have him and we are lucky to call him our friend and have him in our PRI Family.

We were also able to meet up with PRC Heather Carr, who has been part of the PRI Family for many years. It was great to see her and to meet her husband Jan, as they provided us with local recommendations and things to see. Heather continues to introduce PRI to many others and we are so grateful for her support. Our last evening included a dinner reservation with PRI Faculty Louise Kelly and her husband Bruce and it was such a great way to finish our weekend. Bruce and Louise met in graduate school and it was a true pleasure to take a walk down memory lane with both of them. Although the food was great the conversations shared and laughs that were had truly made our last night in DC special.

Thank you to all everyone who made this conference a success. The science of PRI continues to grow and each conference we attend makes it apparent that word of mouth is still one of the best ways to connect and share our passions with others. Thank you in particular to Navin, Heather, Julie and Louise for going out of your way to spend time with us. PRI has a way of connecting people and it was great re-connecting with each of you!

Atlanta played host to a “level 2” course from PRI. The host site was One on One Physical Therapy and the course was Cervical Revolution. Again Karen Warren PT, MPT, OCS, ATC and her crew at One on One were gracious and accommodating. Helping me throughout the weekend was one of my close friends, Jean Masse PT, DPT, PRC, OCS, ATC. Jean is a stellar clinician who teaches PRI concepts at our Advanced Integration course each year.

 Cervical Revolution is the class that makes an initial foray into the PRI world of the cervical spine, cranial strain patterns and dental occlusion and how these worlds might meld together. The occlusion part is one of the reasons why so many dentists have been taking this class and the numbers seem to be growing. A dental group from Kidstown Dental in Houston, Texas was on hand after having heard Ron Hruska speak at the AAPMD conference in Las Vegas. Also, my own dentist, Liz Caughey DDS was there as well which was a special treat for me.

 I realize that each time I’ve presented this course over the past few years, I have learned more and more. I am so very grateful to my mentor, Ron Hruska MPA, PT, for trusting me with this material and I am so happy that he is STILL willing to explain things to me after 22 years under his tutelage. This course has indeed changed since its inception and no doubt will continue to do so in the ensuing years. We try to refine the material and we rely on your feedback to do so. Thanks to all of you for the wonderful suggestions you provided on your evaluation forms. Here’s to a happy 2019 for all of us and...#PRInation...you rock and you’re growing rapidly!!!

Every year the first week in December marks the beginning of the end. The start to our four day Advanced Integration course is much anticipated throughout the year as we prepare and look forward to welcoming our PRI Family “home” for the Holidays. For all of us at the Institute it is truly a time of gratitude and renewal as we host course attendees from all over the world here for the last course of the year.

This year we were thrilled to have 15 of our 18 faculty members here, laying the stage for one of the best years yet. We also welcomed attendees from Australia, Denmark, Germany, Japan, Malaysia and 23 other states. Many of you may know by this point that attending the same course twice may lead to two very different experiences. This years Advanced Integration was unlike any previous renditions due to the constant dialogue between the Presenters and the many Faculty members in the audience. Every year the Primary Concepts are integrated, expanded on and projected in a new way to reflect the current state of the culture around us.

Many of us will spend time with family over the upcoming holidays and all of us will join these conversations with different biases, dispositions and attachments. In order to remain loved and continue to love our family members we must sense our own physical and emotional constraints while at the same time appreciating theirs and inhibiting any negative outcomes that otherwise may occur.

Similarly, if our anatomical families do not work together and appreciate what each group can bring to the table, neutrality may be lost. Advanced Integration continually reminds us to appreciate each of our family members and the role they play in balancing our autonomic function. Myokinematic, Postural and Pelvic concepts were solidified through four days of appreciation for each presenter, practitioner, and person in attendance.

Thank you to all of our PRI Family for making the trip to Lincoln. Although December is typically the coldest time to visit, we are grateful to end each year with all of you. Not only does this course solidify all of your integration throughout the year, but we hope it also lays the foundation for a successful start to the next.

Wishing you and your Families a very Merry Holiday Season and start to the New Year!

CLICK HERE to see all Advanced Integration 2018 photos!

Posted December 21, 2018 at 8:50PM

We are excited to announce and congratulate the Postural Restoration Certified (PRC) Class of 2018! PRC credentialing is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRC application, and successfully participating in practical and analytical testing. Ten Physical Therapists and two Physical Therapist Assistants earned the designation of Postural Restoration Certified (PRC) under the direction of Ron Hruska, Lori Thomsen, Jennifer Poulin, and Jennifer Platt earlier this week.

The Postural Restoration Institute established a certification process in 2004 as a way to recognize and identify those individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute. The PRC credentialing program is available to physical therapists, physical therapist assistants, occupational therapists, and chiropractors who have attended PRI courses, demonstrated a thorough understanding of the science through completion of the PRC application, and successfully participate in both clinical and analytical testing. To date, 201 professionals have earned the designation of Postural Restoration Certified (PRC).

To view/download the photos click here.

Back Row (from L to R): Jennifer Poulin, Jill Maida, Jeremiah Ferguson, Eli Zygmuntowicz, Katie Piraino, Brian Benjamin, Tyler Tanaka, Ron Hruska

Front Row (from L to R): Cheryl Chase, Christopher Murphy, Bridget Anderson, Sarah Ratti, Ken Smith, Jim Wittekind, Lori Thomsen, Jennifer Platt

Posted December 12, 2018 at 8:09PM

Jason Masek presented at the 2018 National Strength and Conditioning Association (NSCA) Coach's Conference.  His presentation: "Push, Pull, and Propulsion: the 10-20-30-40 Concept" is now available online. Check out our blog for more information.

Posted December 6, 2018 at 10:27PM

Summer is nearly half over, which means Fall is quickly approaching, and PRC applications will be due soon! Reminder that the Postural Restoration Certified (PRC) credentialing program deadline is September 15th. The PRC credentialing program is limited to the first 30 applicants each year. Two copies of each application (including full text of the articles used in the article review portion) must be mailed to PRI, and received no later than September 15th to be considered for testing this December. Please be sure that all items on the PRC application checklist are submitted. Please note that the PRC application is updated each year, so please print the most up to date application. To print an application, CLICK HERE!

PRC testing is scheduled for December 10-11th (following the four day Advanced Integration course) in Lincoln, NE.

*International clinicians who are interested in applying should contact me ASAP, as additional educational information must be submitted by August 1st (extended from July 15th) for review and approval by the PRI Board of Directors to determine eligibility for the PRC credentialing program.

Are you planning to apply this year? If so, please let me know! Also, if you are preparing your application, and have any questions, please call or email me!

Posted July 16, 2018 at 2:14PM
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