Science

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!

The seeds of PRI science have been planted in the birthplace of philosophy. We have all seen the beneficiaries of Ron Hruska’s Socratic style of teaching. Sharing PRI wisdom in Athens was a natural fit.  
 
Praxis Physical Therapy in Athens graciously hosted this Intro to PRI seminar. Mimi Marsellou PT/ Μιμή Μαρσέλλου PT, M.Sc. and Foteni Largari PT / Φωτεινή Λάγαρη PT have owned and run a women’s health and general PT practice for over 20 years.   
 
How did this come about? A unique professional connection to Greece:
Having had the great fortune to have lived in Greece for 6 years, working in Athens as a PT from 2000 to 2004, including being a PT for the Greek Olympic Committee/Athens summer Olympic and Paralympic games in 2004. When I returned to the US, and discovered PRI in 2008, obtained a PRC certification in 2011 with the culmination of opening my own PRI Center in 2014. Like Odysseus traveling so far only to return home again; this summer presented the opportunity of introducing PRI to rehab professionals in Athens. It is no surprise that they are eager for more.
 
Now that they have been exposed to PRI concepts, there are plans for the home study courses in the near future.   
Who knows, perhaps hosting a course as well. “OPA” PRI!

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

This past weekend, the Affiliate program got presented in the southern hemisphere as the PRI  integration for Fitness and Movement was hosted in Sydney, Australia!!  I traveled over 10,220 miles (or over 16,447 km) and the very long plane ride across the south pacific was well worth it! Sydney was such a fun city, and it was a pleasure to spend some time with the PRI Australia group.

PRI Integration for Fitness & Movement - NSW Australia

 I am beyond grateful to have had the opportunity to share the PRI science with this area of the world.  It is exciting for me to watch attendees connect to a deeper dimension of PRI because I believe it’s in those deeper dimensions of PRI that the magic happens and gaps are bridged.  Attendees from Japan, Singapore, Malaysia, Georgia and various parts of Australia were all represented. Chiropractors, Osteopaths, Physiotherapists, Pilates, Yoga, and Exercise Specialists were all in attendance, with the class being about half and half. Half being exposed to PRI before and the other half were brand new to the science. Needless to say it was a diverse group --- yet all united to learn more about the diaphragm and its influence on posture.

PRI Integration for Fitness & Movement - Postural Respiration

Regardless of credentials and training, this course is enlightening to help us all remember how to program Respiration and Alternating Reciprocal Activity to enhance Tri-Planar performance patterns (i.e “Functional Fitness”)

 We hit the ZOA hard and discussed it’s role in managing hyperactivity and unnecessary muscle tension. The exercises I introduced focused on shaping the ZOA three dimensionally with respiratory abdominals, along with promoting  expansion, movement and flexibility of the ribcage.  I then emphasized the 5 steps of programming for shaping adaptation and better integration for symmetrical compound lifts.

SYMBA Ribcage PRI Integration for Fitness, NSW Australia

  The 5 steps in this course are presented to help create a framework for programming and organizing how exercises are presented to clients and patients. The 5 steps also help in organizing core stability and symmetry from the diaphragm level outward.

PRI Integration for Fitness & Movement - Postural Restoration

PRI Integration for Fitness & Movement - Postural Restoration Institute

I loved seeing the passion and ah-ha moments as attendees connected with the material and got new resources and insights to help progress their clients and patients. I think we will see PRI quickly continuing to grow in this area of the world. Thank you to Mark Obrien and Jason Thomson for hosting. Special thanks to Mark for the hospitality and opening up his brand new facility for us to use. Fit Plus Well is such great hidden gem just south of Sydney. And Jason, thank you for sharing your passion, your insights (nuts, I will always remember your nuts cue) and helping with much of the logistics of the weekend! 

PRI Integration for Fitness & Movement - Postural Restoration Institute - Jason Thomson

My visit to Australia was fun and I hope to get to come back one day! I could definitely live in Sydney - beaches, city and mountains were all right there. Beautiful coastline. Thank you to all who helped organize the event! Cheers!!

This latest installment of the Postural Respiration course in New York City was notable for several reasons. First, the group was a very large and a very diverse and dynamic group of professionals, with 29 out of the 50 in attendance being first time attendees at a live PRI course. Second, my three lab assistants for the course were fantastic in every way. Thank you to Neal Hallinan, Sean Light and Brad Gilden. You three really helped to ensure a great learning and lab experience for everyone in the course. And third, the new updated version of this Postural Respiration course material really inspires, clarifies and defines the foundational principles of the institute in a meaningful way.

Postural Respiration Lab Assistants - James Anderson presenting a Postural Restoration Course

This updated course manual uses tons of great references to teach the concepts of static asymmetry, dynamic respiration and patterned respiration with clarity and authority. The well established history of PRI using objective tests to monitor position and respiratory function was further enhanced with the new Posterior Mediastinum Respiratory Reach Test. The group did a great job of picking up what we were doing with this new brachial chain test, and appreciated the reproducibility of the test for patient and client utilization on their own at home. Another highlight was the time spent on and clarification of both lower trap and serratus anterior function on each side and in each respective plane in the Left AIC/Right BC Pattern. The newly updated and expanded reference titled "The Influence of Patterned Respiratory Function on the Left and Right Abdominals, Lower Trap and Serratus Anterior" was especially useful in this regard.

Another highlight was how well the lab time turned out for everybody in attendance. There were plenty of treatment rooms and treatment tables and we scheduled enough time for each lab, whether it was an assessment lab or manual technique lab, to give everyone a good experience. Again, kudos to my excellent lab assistants for giving everyone the time and attention they needed to have a meaningful experience in lab. You three are top notch professionals clearly committed to sharing what you have come to know and that commitment made this course wonderful for all in attendance. And thank you for helping to explain how important interdisciplinary integration is when it comes to working with professionals who may not be licensed to perform manual techniques developing relationships with professionals who are. We always appreciate the interactive and interdisciplinary dialogue.

Neal Hallinan assisting during a lab demonstration - Postural Respiration

And lastly, I would like to thank yoga instructor Giulia Pline for your willing help in this course as a class demo and reference for our learning. You were willing to demonstrate patterned respiration in the Left AIC/Right BC Pattern using PRI special tests and then receive the manual techniques in front of the group to help us learn how to perform the tests and techniques in the lab. You were the prototypical Left AIC/Right BC Pattern, representing the underlying pattern that exists underneath all other compensatory patterns that could show up in our lives. After your assessment, it was fun to spend the rest of the course talking about rib immobility or compensatory patterns like Superior T4 Syndrome, with the goal in mind of becoming like you, on the way to becoming neutral, whether we used manual or non-manual techniques to get there.

Posted May 17, 2019 at 5:47PM
Categories: Courses Science

Ahh Seattle… How I missed you! I had the absolute pleasure visiting one of the most beautiful places I have ever had the privilege to teach PRI. I flew in early this time and was able to finally scratch my bucket list line item of going up the Space Needle! I visited the Pikes Place Market, took in an Underground Walking tour and learned all about how the Pioneers developed the city of Seattle. I ate my fair share of seafood and fueled up for the weekend ahead.

10 years ago, I assisted James Anderson in teaching the very first PRI course in Seattle. PRI has grown so much in the last 10 years, but nothing like the firestorm that hit this area. Seattle has so many amazing clinicians that have really grabbed hold of the science and ran with it.

I had the help of my PRI friend Zac Hawthorne. Zac did a great job helping during lab, sharing his insights with our class and answering questions.

This weekend I taught Pelvis Restoration at Pro Sports in Redmond, Washington. The staff Amanda, Cory, Siera, and Nathan made me feel so welcome, it hardly felt like I was working.

Jen Poulin teaching Pelvis Restoration in Seattle, WA

Pelvis Restoration is a great first course as it allows for a nice blend between Myokinematics of the Hip and Pelvis and concepts introduced in the Postural Respiration course. My attendees ranged from 8 “Newbies” to experienced PRI clinicians. This was a nice mix for learning and integrating effective evaluation tools and treatment interventions. I hit home the concepts of Respiration and Gait as it relates to the inlet and outlet and how that presents in patients suffering from diagnosis of Iliosacral pain, pelvic floor conditions, lower back pain and pubalgia.

My own recent course attendance at I & I, the Non-manual technique workshop and PRI for Pilates really helped me teach Pelvis concepts this weekend. I did my best to keep to the Pelvis concepts but relevant to the science taught in other courses. The integration of outlet and mediastinum inhibition using the objective tests such as how a PADT and posterior medisatinal outlet expansion tests, bridge the gap between the pelvis and thorax.

Special thanks to Taylor, Anna, Lisa, Jake, Elena and Steve for helping with lab demonstrations this weekend. I will now take a much needed rest and look forward to being back on the road in September in the Big Apple!

Until then PRINation… #trustthebreathe

Posted May 15, 2019 at 5:05PM
Categories: Courses Clinicians Science

Who knew that following Ron’s advice many years ago to find a dentist who appreciates the influences of airway, neutral TMJ position and occlusion would take me to Vilnius, Lithuania?  I have had the privilege of working with a multidisciplinary team of dentists, Dara Chira DMD orthodontist, Jeff McClendon DMD restorative dentist, and Michael Gunson DDS, MD orthognathic surgeon for the treatment of complex TMD, Airway and Occlusal patients.  We have been invited to speak at various dental conferences on our multidisciplinary approach to care (Lips, Teeth, and Tongue to Toes).  Most recently we spoke at the Baltic Sea Community on Orthognathic Surgery and Orthodontics Spring course on “The Gravity of Temporomandibular Disorders Treatment “in Vilnius, Lithuania. 

The conference opened with dental radiologist Dania Tamimi BDS, DMSc presenting on radiographic evaluation of the TMJ.  I just about fell out of my seat when she showed a left cranial side bend and how it affects the TMJ, mandibular position and occlusion!! This made my discussion of the RTMCC so much easier for the participants to understand. There were lectures by orthodontists, and orthognathic surgeons as well.  Dr. Mariano Rocabado DPT presented arthrokinematics of the craniovertebral and craniomandibular areas with the influences of manual therapy on the cervical spine and its impact on neutral TMJ.  All the lectures and especially Dania and Dr. Rocabado's lectures were a perfect set up for our team to close the meeting with how we work together to achieve balance for our patients on so many levels.  My part was very well received as I was able to develop the PRI concepts from an Advanced Integration approach including LAIC, RBC, RTMCC, muscle chains, forward head posture, asymmetrical patterns and the importance of the diaphragm and attaining proper breathing mechanics and ZOA with its influences on temporal and mandibular position and function.  It was great fun demonstrating a balloon technique to 230 participants from 30 different countries!!! I am very excited about the feedback we got after and how open minded the group of dentists were to the idea of occlusion being more than just about the teeth!!! They really do like looking at teeth though!!!!

We were able to stay a few extra days and tour Lithuania and Latvia which included a tour of a 14th century castle on Trakai Island, Riga, Hill of Crosses and The Rondale Palace!! The trip was absolutely extraordinary!!!

I am so grateful for all the continued education and support that Ron, Jen, Jason, RJ and many others have had over the years in helping me understand the science of PRI, the application of PRI for better patient outcomes and for helping me with spreading the word to other professionals on how important it is for patients to work with a PRI minded clinician.

PRI for Pilates took the show on the road to Webster Groves, Missouri last weekend. The iconic St. Louis arch was a perfect example of  a beautifully domed diaphragm.  Participants included PT’s, Personal Trainers, Pilates Instructors and an OT. The Pilates newbies to PRI were very receptive to the new concepts and how to incorporate PRI into their Pilates practice. There was great group participation, questions and comments especially from the Laurens, Leah, Tara and Cory. 

PRI Integration for Pilates - Postural Restoration Institute

PRI Integration for Pilates - Postural Restoration Institute

PRI Integration for Pilates - Postural Restoration Institute

James did a stellar job explaining appropriate diaphragmatic breathing and the the roles of the IO’s, EO’s TA’s and serratus to this group whose primary focus is the “core”. Sarah had everyone  learning to drive in the left and make legal right turns. Donna led the lab integrating Pilates and PRI techniques on the Pilates reformer. We were honored to have Jen Poulin  join us to learn how to begin to use Pilates equipment to further enhance her pelvic restoration expertise.  Shout out to our host Kelly Ruesing who jumped through many hoops to be present even though she had a music gig in Indiana the same weekend. Special thanks to Nancy Hammond PRC for igniting the interest and bring PRI Pilates to St. Louis.

PRI Integration for Pilates - Postural Restoration Institute

PRI Integration for Pilates - Postural Restoration Institute

PRI Integration for Pilates - Postural Restoration Institute

 

Each year our Interdisciplinary Integration Symposium brings many different people and perspectives together for collegiate and collaborative discussion unified around a global topic of interest. This year, not only were we fortunate to welcome attendees from as far away as Australia, but we were also humbled to interact with attendees from at least 30 different states over the course of this two day Symposium. The variety of knowledge and unique approach that each individual brings with them, also strengthens the Symposium as a whole.

Postural Restoration 2019 Symposium

 The speaker panel this year included, Dr. Rosalba Courtney, Dr. Brad Story, Ruth Hennessy, Mandy Harvey, Dr. Howard Hindin, Dr. Ingo Titze, and Ron Hruska. Not only were their presentations perfectly in tune with the overall message, but the various backgrounds present allowed for even more resonance to occur between the speakers themselves and attendees as a whole. The power of PRI from my perspective is exactly this. The ability to bring together A Singer, a Myologist, a Physical Therapist, a Student, a Dentist, a Speech Pathologist, a Vocalist, a Optometrist, a Occupational Therapist, and a couple PhD’s in Voice Studies just to name a few. Not only does this Institute welcome all professions and mindsets, but we welcome them with the common goal of collaboration and integration at the forefront of this patient centered treatment approach.

Speaker Panel Postural Restoration Institute 2019

Thank you all for contributing in your own ways, to the success of this year’s Symposium. You will continue to resonate with us all and your voices will continue to be heard all across #prination

The full photo album from these two days can be viewed HERE!

Stay tuned for more from Mandy Harvey’s presentation, and please consider joining us next year for the 2020 Symposium “Extrapyramidal Disorders: An Interdisciplinary Approach in the Management of Involuntary Movement” on April 23-24, 2020 Followed by a celebration of the 20th Anniversary of the Postural Restoration Institute! See you there!

Interdisciplinary Integration Symposium 2020 - Postural Restoration Institute

Posted May 1, 2019 at 4:47PM
Categories: Courses Science

What a fun weekend of teaching Pelvis Restoration this past weekend in Lancaster. Nearly 3/4 of the class was attending their FIRST PRI course. I know many individuals have opinions what primary course attendees should attend first and many think Pelvis should be the last to attend of the the three primary courses. That being said, these professionals were amazing with understanding new concepts, looking at the pelvis in the detail of position, muscle facilitation/inhibition, and application of PRI tests needed for treatment. Yes, it's a lot of material, but one must understand it's the integrator between Postural Respiration and Myokinematic Restoration. If you don't have a pelvic inlet you won't get a ZOA needed for trunk rotation (Postural Respiration). If you don't have inlet and outlet frontal plane control you won't manage a hip (Myokin). My fellow course participants got it and did amazingly well. What an awesome weekend, learning shouldn't stop in our careers! Thank you for being open minded to new concepts and I hope you all come to love PRI as much as I do.

Pelvis Restoration, Postural Restoration Course

Pelvis Restoration Course, Lancaster, PA - Postural Restoration (PRI)

A shout out to Cathy Ingram and the rest of the staff at Lancaster for hosting this past weekend. Lancaster had 15 participants from their staff alone attending the course this past weekend. Thank you so much for the set up, tear down and organization. Most importantly, thank you for your passion for PRI.

PRC Frank Mallon with Lori Thomsen, Pelvis Restoration - Postural Restoration (PRI) course

Also, a huge thank you to Frank Mallon for being a wonderful lab assistant. Frank is humble, approachable, an amazing clinician with a strong passion for learning and PRI.

Posted April 29, 2019 at 5:07PM
Categories: Courses Science

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

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