I had the opportunity to attend the PRI Integration for the Home class in Bismarck, ND on May 2-3 taught by James Anderson. Given my current patient caseload of approximately 50% home health patients and the remaining 50% in an outpatient setting, it was an excellent and immediately applicable course with my patients. The class itself is useful for both first-time PRI attendees and veteran students and PRC clinicians. The course started with an updated and concise review of PRI principles in an easy to read, narrative form. It is a well-written summary of the left AIC and right BC pattern, respiration, alternating gait, and neutrality. James does a good job of clarifying many difficult topics and as usual, is engaging and entertaining. The assessment section outlines several new tests that are easily performed with the geriatric population in a seated or sidelying position, identifying their ability to reciprocally rotate their ribcage and identifying the position of the pelvis and torso. As many PRI clinicians know, it can be difficult to position our older patients to properly assess position with standard PRI tests. The seated tests remove those obstacles, allowing the clinician to identify position and the ability of the patient to find and feel the variety of reference centers. Included in the assessment portion of the class is an excellent summary of the influence of the left AIC pattern on the foot and ankle. Among the new tests is the Seated Eversion with Hip Abduction Test, which is an assessment of the ankle strategies on one lower extremity compared with the other. The class then included specific non-manual techniques used to address alternating reciprocal movements, restoration of ZOA, and activities to restore left and right leg function to improve bed mobility, transfers, balance, and gait function. The class manual includes over 80 pages of new and updated exercises for the geriatric population in numerous positions with simplified instructions using a geriatric model. Overall, this was a great class for clinicians working with patients of any age. While the class is targeted towards the senior population, the techniques are applicable to all patients. The clear benefit is the modification of some exercises to improve ease for the patients. I highly recommend this course for all clinicians who are passionate about the PRI science.