Science

The evolution of the human being from an infant to an upright, alternating adult is a complicated and multifaceted, sequential, unstable, patterned process, requiring stages, challenges, and self-actualization for optimization.

From infants learning to roll, to toddlers walking behind a push toy, to a competent upright human walking down the stairs backwards (yes, backwards), we presented a 10-component, cumulative Postural Restoration Developmental Sensory Motor Sequence supported by 9 carefully chosen and explained Sensory Integration Principles that support attention to 7 Postural Restoration Developmental Processes. Incorporation of sensory awareness of these processes into the treatment of human beings, fortifies the sensorimotor outcomes that every parent, clinician, and human hopes to experience.

In front of an engaged audience of 7 in-person and a whopping 60 faces on the live stream, comprised of 17 PRC’s and 3 PRT’s, PT’s, ATC’s, personal trainers, massage therapists, an osteopath, an acupuncturist, a health coach, a yoga instructor, lots of familiar faces as well as welcomed new ones, from 9 different countries (Taiwan, Germany, Singapore, Ireland, Japan, France, Poland, Canada, and China), Ron Hruska and I presented the second offering of the Human Evolution course and the first live stream. We enjoyed the enlightening discussions fueled by insightful questions from the audience and I think it’s fair to say we ALL came away from the weekend with a little more to think about in our attempt to better understand the complexities of the developing human being.

‘Understanding how underlying developmental processing of information contributes to the development of sensory motor sequencing and the ‘sense of self’, will enable the caregiver to optimize the use of movement instabilities, without developing overdependence on the respiration or primitive adaptive motor ‘patterning’ for stability’ at any age.

Personally, I’d like to sincerely thank Ron Hruska for his gracious mentoring and for trusting me to deliver this complex and valuable information. (I could go on and on…) Further, Jen Platt was instrumental in assisting with content organization, publication, and is a technological whiz for ensuring we were on the same page, slide, and that the almost 100 videos came through clearly. RJ and Hannah were spectacular from behind the scenes and nothing short of enthusiastically supportive! THANK YOU!

Thanks to all of the attendees for your attention, contributions, thoughts, smiles and ‘thumbs up’ from zoom land. It sure was an honor, a timely opportunity and a very fulfilling experience to be with you all!

Until we meet or meet again….

Lisa

Posted January 24, 2023 at 5:39PM
Categories: Clinicians Courses Science

Welcome to 2023! It's hard to believe that we have moved into an entire new year. With the turn of the calendar to a new year, we kicked off 2023 with the first PRI course of the year. Impingement and Instability has had a relatively new re-write a few years ago, and it is now a great introduction to other PRI Secondary and Tertiary courses, as well as being a clinician's course. It provides the clinician with integration strategies and lays a neurophysiological framework for why PRI is so effective as a science.  

We were fortunate enough to have 53 people join us for Impingement & Instability, which is an astounding number for the first course of 2023. Our first several hours are spent delving into the neurological aspects of how and why PRI does what it does, and why it works. Since this is no longer a specific orthopedic-driven course, we started making integrated connections between the foot and scapula within the first 30 minutes of the course.  

This course has evolved, not only in the last few years, but in the last several times I've taught this course. We've added more demonstrations and explanations of how to use the reference centers to change the emphasis of a non-manual technique, depending on what the client of patient requires to reduce their functional cortical dominance.  And there are four unique non-manual activities that are discussed in this course and are not found in any other PRI course.

We had a great group of movement specialists from several countries. It was great to have Dana Hirsch, DC, Logan Thomas PT, Minh Nguyen OTD, PRC, Kurt Van Kuiken, ATC, Ryne Gioviano, CSCS, and Nora Harris, yoga instructor in attendance. We had so many great questions and participation from our live stream crowd.  My thanks to Collin Kidwell, CSCS, Nick Rosencutter, CSCS, and Jack Wong, DPT for their attendance in-person and their willingness to help with our demonstrations. And thanks again to RJ Hruska for his exceptional assistance with the production of course. And on his birthday weekend, no less!

Posted January 19, 2023 at 5:01PM
Categories: Courses Science

‘Timing’ means something a little different to all of us. Some look at time as it relates to acceleration, movement through space (speed), or muscle activation to name a few. But these biometrics often dominate the actual relationships at hand. These relationships are exactly what we at the institute spend our time reflecting on throughout the year. The best time to introduce a new technique, the amount of time needed to achieve a full exhale, the amount of time spent in one hemisphere, the best time of year to host a specific course, the timing of speaker availability to teach said course, the last possible time that the manuals must be shipped to host sites or your homes…….. and the time goes on.

In cyclical fashion this yearly passing of our daily expenditure of time, ends in 4 days, 30 hours or 1,800 minutes of Advanced Integration discussion. Reflecting on exactly how we spend our time rotating, reaching, reacting to, respiring, repositioning and hopefully resting, throughout our daily lives. The biometrics of it all are covered in depth, building upon the concepts discussed the days and months before. And by the last day, in the final hours, it is always hard to believe how fast our time together really occurs.

That’s the thing about time, it may seem daunting, sometimes nonexistent, or even endless at ‘times’, but until it has passed, until we are able to sense something new at its conclusion, we have no comparison, no metric, of how much of it was truly spent. As our time this year and every year concludes, it is this event that provides us as a PRI community with the sense of our time, being well spent, on and for, others in our lives.

Thank you to all of you who have spent time alongside us this year. And to our faculty who dedicate much of their time to help you, and us, fulfill ours. We look forward to spending renewed time with you all in the year ahead and are excited about the many opportunities available to do so.

May this time of year bring you and your loved ones, peace, rest and well-being.

To view the full photo album, CLICK HERE

Posted December 20, 2022 at 7:28PM
Categories: Courses Science

This course outlines the functional cortical predominance that exists in all humans because of our inert need to move our “self” and our body forward. Our predominance precedes dominance, as our errors precede our successes. Our consciousness predominates our interest. And our brain hemispheric predominance predicts our natural asymmetric anti-gravitational behavior. This is a ‘introspective’ course. A course built off of research and examination, and appraisal of my own mental and emotional processes of human locomotion self-analysis.

Introspective courses can be difficult, very difficult to understand. Locomotor movement is not a simple act. And to fully appreciate how we displace ourselves, we need to relate the ascendency associated with visuo-spatial peripheral flow, chest decompression and compression behind vertical and horizontal displacement and predomination of handedness to the prevalence of unilateral ground control. I can appreciate anyone, who tells me they do not understand what this sentence just meant. But that is exactly what I hope to clarify in a course such as this, by relating concepts of displacement with movement, forward movement, that we all are programmed to do.

I believe, I have taught this course, six times, maybe, not sure. I feel like I have taught it 400, 4000 or more, times. Because I teach humans, guide humans and mentor humans on how to displace themselves to safely and subconsciously move themselves forward. Moving ourselves from our place of rest or position, or submerging ourselves, body or part of our body in a volume of space which would otherwise be occupied by gas in that space, requires progressional displacement of both air/space in and around our body. As obscure as this may sound, it is this acceptance of displacement by our visual optic regions of our brain, that gives us the freedom, the control and the orientation we use to move forward on our feet, through binocular, bi handed and bi lateral chest alternation of displacement.

Immediately after teaching this course I received two emails from course attendees, who said they “got it” and appreciated the course so much, because of this scientific based introspection. This course, in my opinion, helps us understand how important the upper extremities are when we move forward with chest and visual space suppression and displacement, for locomotor placement of the ground we are supported by and for locomotor placement of the environment we are moving through.   

I would like to thank all of the attendees who were willing to reschedule this course because of my, and the PRI staffs, acquisition of COVID a few weeks earlier. I also am very grateful for Julie Blandin PT, ATC, CSCS, PRC and Mark Ragusa DPT who attended the course in person and helped with their acknowledgement and feedback of instructional material. It always helps so much to have someone present in the room when giving virtual courses.  

And finally if you are hesitating to take this course in 2023, talk to someone who has. It should broaden your perspective on the visual, hemi-chest and upper extremity influences on the legs you use to move you, or your patients forward. I will only be teaching this course two times next year, May 5-6 and Nov 3-4. And both will be livestream. Thank you for taking the time to read this review.

Posted December 6, 2022 at 10:25PM
Categories: Courses Science

As the temperatures were dropping in Lincoln this weekend so were the femurs on the infamous Hruska Adduction Drop Test. We warmed up quickly in lab restoring patterned pelvis’ to neutral. The attendees learned the value of this test in order to identify the position of the pelvis and to confirm the Left AIC pattern was present. About half of the group of ATCs in attendance worked in the MLB/MiLB and pro soccer worlds so we discussed Myokinematic Restoration treatment and how to implement it within training sessions. Getting our patients the 4 Rs: reposition, retrain, reciprocate, and REST is the ultimate goal when utilizing these myokinematic restoration principles and programs!

Posted December 1, 2022 at 8:00PM
Categories: Courses Science

If there is one thing that is consistent in Chicago, it's the rapidly changing weather. With temperatures dropping 30 to 40 degrees in two days, it is a harsh reminder that winter is coming, sooner than later.  

Change is constant and often beneficial. Of course, there are times in which change is bad, but a change in seasons is a good thing in this part of the country. And a change in the body is, more often than not, just what the body needs as well. That was the backdrop for Myokinematic Restoration in Chicagoland.  

It was a great pleasure to have Craig Depperschmidt teach with me. We have known each other a long time (both of us are PRC Class of 2012), and we have co-taught this course a few times in the past. However, it was our first time doing it without also doing a live stream broadcast in Lincoln. It was a lot of fun to interact with everyone in the course as well as with each other.

Craig kicked off the weekend doing a great job of establishing the necessity of position and why position matters. As we moved onto testing for position, we were hopefully able to suggest a change to the attendee's perspective as to why the tests look the way they do given the influence of human asymmetry. As we discussed the necessity of changing the position of the pelvis and re-training the femurs, our discussion led us to the Hruska Adduction and Abduction Lift Tests and intervention. Our objective this weekend was to change pelvic position, change the job description of the femurs as necessary, and change how the body uses itself against gravity. To be a better Batman, we need to be a better Bruce Wayne.

My thanks to Sam Pare, DC, Nikki Galante, PTA, John Shostrand, Yoga Instructor, and Alexi Gniot, PTA, for spending even more time with me than they have already. We had so many great questions during the course that it is really hard to pick out a couple. It is really a sign of a great group of movement professionals that we could have such a diverse group and have such on-point questions. Thanks to Jennifer Carlotti, Jayme Keith, Cory Puyear, Jen Cohen, and Nikki Wierzbicki for letting us learn from you during demonstrations and Q&A.

It was a nice change to be able to talk about PRI with such a good group of in-person attendees. With the virtual changes we have had to push through the last few years, this was a welcome change, no doubt. I'm honored to call Craig a fellow Faculty Member of PRI. He makes all of us better.  It was a unique experience for Craig and I, and I hope it was for the attendees as well.

Posted November 29, 2022 at 4:12PM
Categories: Courses Science

Enveloped by palm trees and the salt-water aroma of the Atlantic Ocean is a gem of a clinic: Arise Center for Athletic Development, our host for Postural Respiration.
Arise was filled to capacity, evidence of the thirst for PRI in the Sunshine State. With her wedding just days away, Tia Moir was determined to put aside her pre-wedding jitters and focus instead on growing her understanding of PRI concepts. Tia, I hope your wedding day was glorious!


Postural Respiration lays the groundwork for concepts that are reinforced in every one of the Institute’s courses: the neurology of movement and the role of the thoracic diaphragm on patterned, habitual activity and our nervous system’s state of tension and twist present in all our patients-clients. Through lecture and lab, attendees gained a thorough understanding of, and experienced within themselves, the power of the hemi-diaphragm’s most important characteristic: its zone of apposition. Loss of the left hemi-diaphragm’s ZOA initiates deleterious air flow patterns and is the underpinning of movement dysfunction. Attendees learned how to coach their patients-clients through numerous non-manual techniques that place an individual in novel, biased positions and challenge the nervous system to disengage old movement patterns and replace them with healthy, efficient ones.
Post-lab comments included: “My left side feels heavier.”  “My back tension is gone.”  “I can breathe deeply again.”


It was our good fortune to have in class Amy Brown, PT, PRC. Amy assisted in lab and shared her clinical perspectives throughout the weekend. Amy is well-versed in the PRI approach and is a great resource for the Floridian contingents, especially those starting their PRI journey.


Many thanks to the team at Arise:  David Donatucci, Austin Hetzer, Jen Lewis, Mickey Massucci, and Ahmed Rashwan.  You were instrumental in providing an atmosphere of comfort with good energy and flow.  
Thank you to our models, who greatly enhanced the learning for all:  Joi Dupre, Rogelio Govea, Amy Haddad, Hugh Pun, Ahmed Rashwan, Rosaline Riuz-Go, and Brandon Van Kempen.   
Arise will host Myokinematics next year.  Faculty member Kasey Ratliff will bring her PRI prowess and clinical versatility to strengthen your PRI knowledge and understanding of how the neuromusculoskeletal system really works.

Posted November 16, 2022 at 7:46PM
Categories: Courses Science

The Big Apple!!! What an amazing weekend with the NYC Marathon and fellow PRI enthusiasts. A big shout out to Yohei at Funcphysio Physical Therapy and his staff Yoshi, Kohei, Nidhi, and Emi for hosting this past weekend.  You all are amazing and gracious hosts. I thoroughly enjoyed "coaching" this group this past weekend. The desire to learn, think out of the box, and ability to have paradigm shifts allowed for great dialogue and questions. The science of PRI fosters critical thinking and creativity in treatment of our patients. I feel not only did the new attendees, but also participants that have already attended PRI courses have a real hunger to understand and learn what the tests are showing them to make decisions with selecting PRI techniques for clinical care. The three R's were emphasized....RE-positioning to get a negative ADT test and inhibit muscle to enhance RE-training with muscle facilitation to allow the PADT and PART tests to go negative for a frontal plane pelvis so we can RE-store to alternate. Understanding of the Hruska Abduction Lift test to
assist PRI technique selection is THE play book!!!

It is a lot of information, but oh my, just like the Big Apple it can provide so many wonderful outcomes for your patients.

Posted November 14, 2022 at 9:37PM
Categories: Courses Science

It's been a great pleasure to work with Louise Kelley and Skip George as we endeavored to help the Flagship Course of PRI, Postural Respiration, become a more digestible course. It is really the foundation of the neurology behind PRI concepts as well as the link between the other Primary PRI courses and the Secondary and Tertiary courses. The goal was to help the course attendee leave with a solid understanding of the neurology behind dynamic respiration, and how to test for, and manage, patterned airflow.

It was very rewarding to have such a diverse group of attendees. We had 10 in-person, and 36 on live stream. We had chiropractors, dental hygienists, physical therapists, athletic trainers, yoga instructors, personal trainers, and a physical therapy student. This diversity led to wonderful questions and opportunities to further explain and digest concepts. The in-person group were wonderful to work with in lab, and the live stream group had several excellent questions and comments on the lab as well.

 

Hopefully the nearly two hours of explanation and discussion surrounding the R BC pattern, scapular position, why the tests look the way they do, page 44, and Superior T4 syndrome was helpful for the attendees. We were able to spend a lot of time in lab working on manual and non-manual techniques, as well as working our way through page 50 to help organize our thoughts into an organized treatment algorithm.

My thanks to Jennifer Bell, Sharee Jedlicka, Deanna Stewart, and Ryan Esdohr for your questions and help during lab. My thanks to RJ, which again did a masterful job directing our live-stream event. It was so great to get questions from Juliana Kroese, Dave (Birthday Boy) Shamash, Alan Lee, Kimberly DelVecchio, and Ivonne Gonzales while they were on live stream. Excellent questions all around!

With this course coming right before Halloween, or as my high-school aged children call it, "Free Candy Day," my holiday wish for the course attendees is that they don't find Postural Respiration spooky or haunting, but find it friendly and enchanting!

Posted November 7, 2022 at 5:47PM
Categories: Courses Techniques Science

Divergent Physical Therapy and Wellness in Wellesley,MA just out of Boston proper was the location for Cervical Revolution on Oct. 22-23, 2022.  Cervical Revolution is the introduction to "top-down" PRI concepts of neurology especially autonomics and how the cervical spine at the atlas and occiput directs the cranium and ultimately occlusion. Since this is a complex system, there is also a connection on how occlusion and the cranium can also direct the entire body and all of it's postural and physiologic systems especially when the sphenoid becomes "fixed" and oriented while the rest of the axial skeleton compensates when in a pathologic state. The A/O runs the show until over-referencing with occlusal and cranial consequences drive pathomechanics.

 


What a great group and facility. Wellesley is a beautiful town and was surrounded by forested neighborhoods turning fall colors. Divergent is a state-of-the-art therapy and training center and lends itself to a perfect environment for learning.

This course was unique in that we had 7 PRC/PRT's that made for high level clinical discussions. There were students that were local from the east
coast as well as SoCal, Honolulu and even Alabama. Shout out to Alan, Cody and Paige for the long travels and especially Cody from Honolulu and a 10 hour flight. Neil Hallinan, PRT came up from  'Jersey and always has his expertise and knowledge that adds to the discussion. Thank you to Mike, Connor, Garrett and Cameron for providing their facility to all of us. Big thanks to Louise Kelley, DPT, PRC who brings energy, needed details and technique application to the course. And last but not least, thank you Karen Taylor-Soiles, PT, MA, PRC for providing a warm home, wonderful food and a seasoned provider's insight to the weekend. Louise and I are grateful to you and all in attendance.

Posted November 1, 2022 at 9:02PM
Categories: Courses Clinicians Science
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