Science

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

I had a great weekend in Milwaukee! Nick Rosencutter and his staff were so welcoming. The last time I was in Wisconsin, Nick helped me reinforce the concepts of autonomics as he did the “Ice Bucket Challenge” in a proper Left Stance position of AFIR. He managed to find the video to show this class. Super fun to meet new people and then reconnect at PRI courses!

Jennifer Poulin teaching Myokinematic Restoration in Milwaukee, WI

We once again had a diverse group of clinicians from PT’s, ATC’s, and Strength and Conditioning specialists. The course attendees were mostly new to the science of PRI and taking their first PRI course. Myokinematics is a great first course for clinicians to introduce PRI concepts. I enjoyed integrated discussions about respiration and gait as it relates to an A on F vs. FA activity. I spent Sunday a.m. teaching both the HADLT and HABLT and tying together Saturday’s passive positional tests to help these new clinicians begin their PRI clinical journeys. It is so great to have so many new clinicians and wellness professionals interested in learning PRI. Overall I am proud of my course attendees for opening their minds and practices to the science of PRI!

Demostration during Myokinematic Restoration in Milwaukee, WI

Myokinematic Restoration demonstartion in Milwaukee, WI

Posted April 16, 2019 at 9:20PM
Categories: Courses Science

James and I had a couple of fun days in Brunswick, Maine teaching the PRI Affiliate Course for Fitness and Movement. The New England region is a hot area for PRI. Thank you to the wonderful team at Costal Ortho for hosting! It was a perfect host site that allowed us plenty of lab space to explore dimensions of breathing and various movement patterns. We had an awesome group and great mix of intellectual minds from personal trainers, strength coaches, athletic trainers, physical therapists, yoga instructors, chiropractors, RN, osteopathic physicians, and structural integration specialists. It was a full course! I love having a diverse audience and truly believe that PRI can be a uniting framework that helps us better integrate, coach, and lead more people to better movement. This course has application for all. Hear from 3 course attendees! Thank you to Noah, Jonathan, and Cheryl for typing up a few words to share with you all!

PRI Integration for Fitness & Movement Lab Demonstration

“PRI is very much the basis of my practice, both as a physical therapist and a fitness professional. I have attended all the primary (some more than once), as well as the majority of the secondary course work, but PRI for Fitness and Movement still offered a bucket of pearls for me to mull over and apply. The course manuals alone are fantastic, as it is clear both James and Julie have taken great pains to effectively organize and simplify some very complex science and concepts. I truly cannot more highly recommend it; both to seasoned and certified PRI practitioners looking to move beyond rehabilitation, as well as individuals who are looking to have a streamlined introduction to PRI in general. This is quite likely the ideal introductory course for the very depth a broad science that is PRI.” - Noah Harrison, DPT, Portland Integrative Physical Therapy, LLC

“After 25 years as a personal trainer, James and Julie have delivered the most functionally complete and detailed oriented lecture I have ever experienced. Their PRI Fitness and Movement class is easily digestible due to the presentation style yet filled with cutting edge science, health, and biomechanically effective protocols. This course is a must attend if you’re a fitness professional who not only wants the best for your clients health and wellness, but also wants to obtain the tools and science unmatched by typical continuing education practices. Thank you both for sharing your passion that will help improve our clients wellness one breath at a time”. - Jonathan Allen CPT, Back Cove Personal Fitness and Fitwell, Portland,ME

“This Fitness Course is a fabulous encapsulation of PRI principles with MOVEMENT. As a newly certified PRC, I really appreciate the way Julie and James are able to back up and take a big picture approach making the main concepts of 3 primary courses easier to understand and apply to movement in a nonclinical approach. The manual is an excellent tool for me to use with my coworkers and other movement professionals who do not have a PRI background, giving me a way to communicate more effectively about the importance of respecting the asymmetric human design during movement with BREATHING. I found a new appreciation for aligning my ribcage and my pelvis. Thank you!” - Cheryl Chase PT PRC, Pen Bay Medical Center, Rockport ME

I hope to be able to visit Maine again, it was beautiful…. and the lobster was yummy too! Thanks again to the #PRInation up in the New England region! Next course for PRI Fitness and Movement is another international destination, Sydney Australia!!! June 22-23 we are excited to teach at Fitwell Plus in Sydney, NSW. PRI Australia... sign up today! There are still some slots available! Get registered and please help spread the word!

Posted April 15, 2019 at 2:47PM
Categories: Athletics Courses Science

Paula Webster, PT, invited us into her Canton, CT, clinic for the weekend to host Postural Respiration. This was one of the most unique clinics I’ve seen: a renovated 1812 home, with its original bee hive fireplace, whose previous owner was involved in the abolitionist movement.

Postural Respiration - Canton, CT

 This was the first PRI exposure for close to half of the participants. It was also a first for me to have a gastroenterologist in attendance, Dr. Kiran Sachdev, who provided insights into the connection between GI issues and patterned respiratory mechanics.

 Discussion opened with the asymmetrical diaphragm and its role in patterned lumbo-sacral-pelvic mechanics below and rib and humeral-glenoid mechanics above, driving us into L AIC and R BC patterns that direct air flow patterns and influence every physiologic system in the body.

As always, the concept of the Zone of Apposition, as needed on the left, was thoroughly defined. This left ZOA indicates left lower ribs that are held down, in, and back to lateralize the body to the left and enable healthy air flow directed into the left posterior mediastinum and right apical areas. With a sufficient ZOA, the left hemi-diaphragm is able to regulate and balance thoracic pressure and abdominal pressure so that its dual roles of respiration and stabilization are preserved.

 We emphasized the three-dimensional function of the abdominal-pelvic and thoracic cavities, and discussed numerous examples of “deflated, converged” cages and thoracic flat back posture, presentations that require over-activity of necks, bellies, and backs to breathe.

Then it was off to the gym for lab time, to practice PRI’s objective tests, including the new "posterior mediastinum respiratory reach test", along non-manual and manual techniques. Attendees put their hands and minds to work to facilitate and experience the powerful sense of rib cage expansion and freedom. How apropos to sense this freedom within a former abolitionist’s home!

PRI - Postural Respiration Subclavius Technique

Thank you to Paula’s Canton PT colleagues, Jeanne Daubert, DPT, Heather Mogielnicki, OT, and Shanya Stearns, DPT, for welcoming us into your clinic and tending to the nitty-gritty to help the course run smoothly. Thank you to Robert Barksdale, DScPT, FAAOMT, for your crucial A-V assistance. I also appreciate the willingness of everyone to act as models for various demonstrations. You were a fun group to hang out with all weekend!

Posted March 25, 2019 at 4:34PM
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