Science

 Surrounded by the tall pine trees of North Carolina and golf courses in every direction one can look, we had 2 full exciting days exploring the power of myokinematic restoration. Discussing how the acetabulum moves on the femur was an appropriate discussion in a community full of golfers when discussing rotation and the appropriate muscles of the hip complex to help achieve rotation. We learned about the inherent pattern (s) of the human body that position our pelvis and ribcage along with tests that help guide our treatment to restore these positions. We had a sharp group of attendees who remained interested and engaged through the last hour of the course which was impressive. We had attendees that made the trip from Canada which is always exciting to see the science of PRI spreading to other countries!


- Kasey Aiken

I had a great weekend hosting, teaching and mentoring Kasey at my home clinic Sandhills Sports PerformanceKasey Aiken did a great job introducing the principles of PRI as they relate to the hip and pelvis. We discussed a dominant left AIC and patho and non-patho compensatory patterns during upright activity as it relates to the Hip and Pelvis.

We were joined by PT’s, CSCS, SPTs, SPTA, ATCs, new graduate of PT, Massage therapist and a chiropractic physician!

Our clinic was represented by Pat Tanner, ATC, Jena Landgam, SPTA, Kelsie Giannoulis, DPT, Brooke Thomas, DPT and brand new to our group Pierce Adams CSCS and Johanna Nisenholtz.  Johanna was my PT student earlier this year. It was so great to have her in her first official PRI class. We look forward to Johanna joining our staff this year!

Thanks #PRINation for growing with us!

Posted March 12, 2020 at 9:50PM
Categories: Clinicians Courses Science

Enjoyed a great weekend at the University of Missouri teaching the primary course classic Myokinematic Restoration. This course is essentially an expanded and updated version of my very first PRI course, its the first course I learned to teach as a new Faculty member 20 years ago, with material that continues to mean a lot to the work I do on a daily basis. Thank you to Joe Pope, DPT, PRC for assisting me with the course and helping give all the attendees a great overall experience. Your additional comments from your own experience learning the science of PRI were very valuable and I could tell were much appreciated by course attendees.

The course was taught at the Missouri Orthopedic Institute on South Stadium Drive across the street from the Hearness Center Basketball Arena and diagonally within view of the neighboring Faurot Football Field. Seeing this field brought back a memory from my college days that I may share just because its nice to reflect on the glory days, when Nebraska Football was dominant and we expected to win the National Championship every year. I'm also sharing this memory for those of you reading this who are not old enough to remember what I'm talking about, because its something you should know about.

The #1 ranked Nebraska Cornhuskers rolled into Columbia back in 1997 expecting an easy win and they ended up pulling out a squeaker that has come to be known as "The Miracle in Missouri". If you don't know what I am talking about (or even if you do), you should do an internet search and watch the spectacular (and very lucky) play called the "Flea Kicker". It's a signature memory for Nebraska Football fans in the 1990's and a pivotal reflection point for current fans hoping current Head Coach (and Flea Kicker Quarterback) Scott Frost will take the program back to its glory days. I think Matt Davidson still gets paid to retell the story of that play to anyone who will listen.

Another reason I tell that story is that 1997 was the year I met Ron Hruska. I was a student at the University of Nebraska Medical Center and we had a guest speaker come in one day to teach our physical therapy class about temporomandibular dysfunction. I had no idea at the time that I was listening to a man who would in time have a more dramatic impact on my career than any of the good professors I was being taught by in my current course of study. These professors gave me the fundamentals of joint structure and function, muscle function and general rehabilitation, but I remember wanting so much more in terms of "real-life biomechanics". And it wasn't until Ron presented courses on lumbopelvic and hip dysfunction that I started to feel satisfied thinking through what I thought was really going on.

This Myokinematic Restoration course was my first hook, because it answered questions about biomechanics and human movement that I hadn't even asked myself before meeting Ron. Questions like, "What is the position of the acetabulum relative to the femur on each side and why does it matter?", "What is ligamentous muscle and why is it necessary?", "What is the performance strength of the acetabulum in early stance on the left and in late stance on the right?", "How does the performance strength of the femur relate to the performance strength of the acetabulum?", "What actually is acetabular hole control?", and my favorite,..."What is the function of the obturator internus and what is its role in upright human function?"

All of these questions and more are answered in the current version of the Myokinematic Restoration course. How grateful I am that I was able to consider such important questions so early on in my career and that I, like Matt Davidson, so much later in our careers, still get paid to tell my version of the story to anyone who will listen.                                                                                                                                                                                                                                                                                          

If there are three bones that have always had an impact on my course of study as related to respiration, airway, occlusion, oral function, head and neck position, speech, vocal cord dysfunction, tongue compensation, nasal flow, autonomics in general, auditory sense and the soft and hard palates, it is the temporal and occipital bones. Three very important nerves go through the most infamous foramen of mankind, the Internal Jugular Foramen (IJF). When the lumen or congruence of this foremen is challenged our bodies know it. Cranial mal-position and underlying associated predictable human torsional constraint increases the need for compensation and  work around this malpositioned set of paired bones, on an accompanying occiput bone that orients and houses the medulla and brain stem in off-centered state of un-rest. This positional state of unrest feeds neurologic information to our mid brain and associated cortices that are directly associated with my course of study, outlined above.   

Re-orientation of these two paired IJFs can have a major impact on ANS, SoNS and CNS function and behavior, secondary to the compression or lack of compression on these three nerves. The glossopharyngeal nerve innervates the stylopharyngeus muscles, the vagus nerve innervates the levator veli palatini, the salingopharyngeus, the palatoglossus, the palatopharyngeus, and the pharyngeal constrictor muscles, and the accessory nerve innervates the trapezius and the sternocleidomastoid muscles. I will not go over these three nerves sensory innervation, but these nerves are instrumental in how we physically, physiologically and psychologically behave and operate. Cranial mal-guidance provided by the calvaria, temporal and occiput bones and their associated torsional patterns of function can be resolved through PRI based sacral cranial repositioning and through PRI based thoracic cranial resolution, that incorporates cranial oscillatory alternation. Having the opportunity to outline and teach the reasoning behind these PRI techniques and considerations, offered by this unique course, through the involvement of the sinus cavities, the palatine bones, and the pharynx, is as fulfilling for me as any course I have ever written, designed or taught.

 

I would like to thank Amy Goddard PT, DPT, OCS, CSC, PRC and her staff, once again, for hosting another PRI course at her expansive and accommodating facility. Gail Kaiser PT, OCS, thank you for your willingness to participate in my demonstration autonomic orthotics. And Stephanie Irizarry Pt, CLT-LANA, PRC your presence is always welcomed because of your love for Pantone 269 C (purple), your predictable body performance through autonomic filtering, and your on-going smile. Jennifer Bullock PT, DPT, OCS, PRC your input, discussion and feedback was so invaluable. I honestly believe, this is ‘your course’ if there ever was one offered by PRI. I truly love everything you stand for and represent.  

    

Posted March 4, 2020 at 10:08PM

PRI nation, it’s good to be back!  

I returned this week from my first opportunity to visit the great state of Louisiana.  What a fantastic welcome this instructor received!  I had the pleasure of introducing nearly the entire class to the science of Pelvis Restoration thanks to the host and hostess Chris and Karlie McDougall at Renew Physical Therapy. Chris, Karlie and the whole team at Renew were kind and gracious, and provided King Cake, and other local delicacies…and I got the baby, so I’ll be back!  

The course involved great conversation and discussion about the theory, science and specifics of inhibiting, facilitating and integrating alternating function of a pelvis into our neuromechanical system. Thank you to PRC, Kyle Babin for your time and energy serving as the lab assistant during our many lab breakouts, you were excellent! This instructor enjoyed the discussion of how to implement PRI objective tests into a comprehensive triplanar picture of the position and tendency of a pelvis as part of the individual human system we assess. Many thanks to Payton Spell, Shaun Lopez, Jessica Lamothe, Lonnie Arroyo, David Giardina (even in the short time!) and more for your help with lab demonstrations and observation of objective tests and treatment techniques.

 

This group had an exceptional array of patterned movement strategies that made this an enjoyable cross-section overview of the greater population and a great venue for learning first hand. I did my part to eat Covington out of Gumbo and I very much appreciated being welcomed to enjoy an evening with the McDougall family for my very first Marti Gras parade. What an enjoyable spectacle!

Thank you again, my fine Louisiana friends, for an enjoyable learning experience in The Bayou, my best to each of you!

Posted February 26, 2020 at 5:29PM
Categories: Courses Clinicians Science

 PRI Integration for Pilates kicked off first course of 2020 at its home base at Pilates Central in Wilmette, IL with fantastic group of Pilates teachers, PT’s, massage therapists, a chiropractor and other fitness professionals. We started the day with introductions and then introduced PRI and Pilates principles. There so many commonalities with Postural Restoration and Pilates, especially that Joseph Pilates and Ron Hruska were both 50 years ahead of their time.

Sarah Petrich introduced the concepts of ZOA and the asymmetrical human body and soon we were all fully exhaling to inflate purple balloons. Day one morning ended with a mat and breathing lab.

I then introduced the supine reformer gait integration assessment test followed by lab so everyone had a chance to observe and experience the tests. Sarah got us all dancing the hula and salsa to illustrate triplanar motion.

Followed by a conversation in which I covered quadruped abdominal assessment and the sidelying stance tests which drive the programming labs. Speaking of driving, Sarah taught us all how to get in the left lane and make legal right turns while discussing lateralized gait. Attendees practiced hand and foot references to “layer “ on to the “choreography “.

So many wonderful attendees to mention: shout out to Chad Moreau, PRC and Whitney from Southern California for braving the Chicago winter; Wanda, who works with wounded warriors in Atlanta and Beth from Houston. Honored that Donna Olivero PT PRC was there to learn how to incorporate more Pilates into her chronic pain practice, especially because she completes the trio of Donna’s in the PRC class of 2012. Thank you to Stephanie (her 3rd PRI Pilates course!) Holly, Petra and Amanda from corepilates Chicago who have embraced PRI Pilates at their studio. Last but not least thank you to my wonderful instructors , Elizabeth, Charmaine, Deb, and Laura for their help in lab, for asking great questions and for help getting the studio back together for Monday morning Pilates.

“Thanks for hosting such a wonderful class! It gave me so much inspiration to continue down the PRI path and incorporate more Pilates into my practice”  -Karolyn

Posted February 24, 2020 at 10:29PM
Categories: Courses Techniques Science

Do you have an interest in learning Postural Restoration but are not sure where to start? Would you like to be more efficient at using the PRI framework to evaluate your clients or patients? If you said yes to either of those, then the Affiliate course for Fitness and Movement is a perfect course for you!

This past weekend, James Anderson and I traveled up the west edge of Illinois to present at Advance Physical Therapy in Quincy. We had a large group with a mix of personal trainers, strength coaches, athletic trainers, football coaches, and physical therapists. For some attendees, this was their first course and then others had attended several previous PRI courses.... And that is the beauty of this course, it has something for everyone and is a good introduction or review of invaluable principles that can transform how we work with our clients, athletes, and patients.

Thank you to PRC Eric Ley, Natalie Stratton and the other Advanced PT owners for supporting their staff’s continuing education. It was a great opportunity to have so many team members at one course all together!

PRI Integration for Fitness and Movement is an advanced course that focuses on helping us look at movement and posture differently while integrating key Postural Restoration principles that promote symmetrical form and balance between the two halves of our axial frame. We are looking at how the ribs, thorax, pelvis and hips work together to empower the diaphragmatic mechanical advantage, optimize spinal relationships and the range of motion of our proximal ball and socket joints.

Here are some comments from this past weekends attendees:

“Great experience for my first PRI course. I feel like I can start looking at my clients posture differently while performing exercises and give more beneficial cues to prevent injury and improve overall function.”

“Absolutely the best explanation of ZOA that I have ever heard”

“I learned so much! The speakers were great and personal”

“Good course. I really took home more than other PRI courses I’ve attended. Speakers broke things down to understand ZOA effectively. I plan to incorporate this course in my current patient’s plan of care.”  

Thanks again to Advance Physical Therapy in Quincy for hosting and coordinating with PRI to have us come out there! Check out the Affiliate course schedule to learn more and get to one of our affiliate courses this year! We have courses coming up in Richmond, VA and Fort Worth TX.

Posted February 21, 2020 at 9:48PM

Pasadena Physical Therapy was the location of last weekend's Cervical Revolution. Locatelli Rao, P.T. hosted this course and it is always a pleasure to share time and knowledge with "Loc" on this PRI journey. I first met Loc two years ago in L.A. when I taught Postural Respiration and the questions he was asking then and now are some of the best. What is really gratifying is when a student can take a complex subject, like Cervical Rev, and break it down into component parts to provide a simple, sequential and detailed description of the concepts of the course. This has been a goal in Cervical Revolution to have students take a course and "get" the primary concepts with motivation to go back into the course manual and absorb more completely the material. Application on Monday morning means just getting the most important concepts, start to practice examinations of the cervical spine/neck, know the basics of what they mean and then experiment and provide PRI techniques! Yes PRI courses make our brains hurt a little as most students will attest while their enthusiasm for more expands with their craniums! One of the most powerful PRI techniques and taught in this course is the Active Left Lateral Pterygoid in Protrusion. After testing a student in lab with bi-lateral positive findings, this technique with just a few breathes demonstrated how powerful inhibiting a Right TMCC can be with a left lateral pterygoid. Not only was the R TMCC inhibited, but so were the BC and AIC chains bilaterally.

PRI Cervical Revolution Course - Skip George

PRI Cervical Revolution - Skip George
Follow up recommendations included Standing Cervical Cranial Repositioning with a Supine Active Sacro-Spheno Flexion which were demonstrated in lab with other students all producing immediate neutrality.  A manual technique was provided on another student in lab called the Frontal Occipital Hold who was also bilaterally positive in testing. After this technique, he was neutral upon testing. That was astounding to all, especially this instructor! This course is really about autonomics and reflexive oscillatory function of a neck that has to be free to turn. Cervical Revolution is so fun to teach because of the power in it's application just like all the courses in PRI. Big Shout Out to Chad Moreau, D.C., CCSP, PRC for being our lab assistant again. Your support and presence always brings a positive force to the room. Thanks again Loc for you support, questions, restates, hosting and always expanding your knowledge. 

 

Posted February 18, 2020 at 5:28PM

Dominant cortical behavior and function as related to human bias and behavior has always been a strong interest, and passion of mine. In 2007 I wrote and compiled a course entitled ‘Impingement and Instability’ to begin a journey with those who have interest in the gifts of contact and oscillation. Four tabs were selected based on their importance in corporeal-sense, hemispheric influence, and biased lateralized behavior. Interaction of calcaneus, femur, hip/pelvis, and scapula anatomy through our extrapyramidal system is critical for reflexes, forward locomotor motion, complex dominant driven function and postural control. This has always been an ‘extrapyramidal’ based course. However, after thirteen years of presentation, I feel the Institute is at a great place to incorporate the significance of pressure, pronation, and push as it relates to these sites of interactive referenced modulated motor activity.

 

The extent of our creativity and capriciousness depends on both our soul and the soles we use to develop behavioral patterns associated with confidence built off of integrating contralateral, hemispheric and bio-tensegrity input. I was so excited this last weekend to discuss how we are regulated by self-regulating pressure of the scapula to capitalize on our ability to perform with things that push, propel and please us. The ground developed, directed and designed our anatomical behavior, while the earth’s gravity gave us the security to defend, offend and create without loss of life. This updated course has not really taken on a new course of direction, but definitely will take those, who attend, into dimensions never before looked at or addressed in the manner they are now presented and applied, with evidence that was not considered when addressing the reasoning for symptomology related to feet and hand haptics.

   

The re-assurance from the wonderful feedback I received after this course, re-assured me that the PRI nation is ready for the importance of variable femoral and scapula instability, and associated counterpart contralateral stability, as related to the metric embracement of calcaneal and pelvis impingement that directs and orchestrates the possible disharmony and dysfunction associated with pre-patterned forward locomotor movement. Thank you One on One Physical Therapy for hosting another PRI course. You all were so gracious with your time, support and assistance. Karen Warren PT, MPT, OCS, ATC the coffee was great from both cups, even when you lifted the left hand with the cup in it and your body’s mass moved to the right, (LAIC, RBC coffee). Dan Houglum MSPT, ATC/L, PRC, Jennifer Smart DPT,PRC and Michael DuBois DPT, OCS, TDN, CS USPHS/HIS provided so much insight and instructional feedback, thank you.

Posted February 12, 2020 at 2:44PM
Categories: Courses Clinicians Science

Beautiful weekend in Oakland California talking PRI for the frail, the immobile and the chronic with a super group of medical professionals at the Alta Bates Summit Medical Center. A huge thanks to our host site coordinator Shaun Buchanan for thinking of everything and making sure we had a wonderful weekend. Your hosting was amazing Shaun. Also thank you to Tim Dempsey, CSCS, CPT, PRT who assisting me this weekend as a lab instructor and made sure the group had a good experience.

 The night before the course was fun and relaxing for me because I got to attend a Golden State Warriors basketball game in the new Chase Center arena. I have been to several games in the historic Oracle Arena in Oakland, but getting to attend a game in their newly completed arena across the bay in San Francisco was an awesome experience. After the game, I picked up a souvenir that helped me teach the course the next day. It was a Matryoshka or nesting doll painted as one of my favorite players, Klay Thompson. Klay turned out to be great asset for giving the class context for rotational diaphragm performance, lumbopelvic rotation and contralateral respiratory rotation through the rib cage during transitional activities and gait. Who knew?

This PRI Integration for Geriatrics course does a great job assessing and making treatment recommendations for different aspects of the human gait cycle. The design of the Seated Gait Integration Test is to determine early to mid stance performance and the design of the Seated Eversion with Abduction Test is to determine late stance/pre-swing performance for the geriatric athlete. These components of upright performance are essential for dynamic upright balance activities, transfers in and out of the standing position and delivering efficient gait mechanics. Seeing the L AIC/R BC pattern in context with different components of gait allows the practitioner to make meaningful changes to gait deficiencies and upright balance and transfer problems. Preventing falls in these populations is by far the most meaningful thing you can do to preserve upright function.

Another powerful aspect of this course if the time spent on Functional Routines in the Home from both a patterned and a preferred standpoint. Thank you John Maynarich, OT for helping our class stay functionally minded throughout the course and for representing the profession of Occupational Therapy so well. You were right, this material is well designed for OT practitioners and should be an important part of all geriatric care. Our ability to make positive changes in daily functional routines really is the whole point, isn't it?

Lastly, I wanted to give a shout out to our 3 first-time course attendees in the class. Thank you Tom Borremeo, Christina Cherg and Fabrice Rockich. You guys were amazing. And thank you Carol Cahn, PT, PRC for personally bringing your friend and co-worker Tom to the course. As I said, you 3 newbies are VIPs from my perspective and it was an honor to cater the content of the presentation to your level of understanding as we went along. Thank you for being willing to ask questions and for the great class discussions you helped to generate. You literally are the reason the Affiliate program exists and we thank you for being there.  

This is absolutely one of most gratifying courses I get to give twice a year. I truly could engage into this type of instructional endeavor every week. So much fun. And so gratifying to read the comments after each course and how much it meant to both the attendee that has taken a number of PRI courses prior to attending and those that are starting out on the PRI journey.

Ron Hruska, PRI Non-Manual Technique Workshop

For a quick review, I am given techniques that were selected by these attendees; and then I summarize who the techniques were designed for at the time I initially clinically used them and applied them to. Obviously this reasoning of application is limited and incomplete, but it gives those in the room opportunity to learn what I was thinking at the time each selected technique was clinically designed. This explanation allows me the opportunity to engage on how each technique is presently viewed by me and incorporated into my integrative mind set and practice, because of the many years of application and outcome assessment. Some of these techniques I have been using over 30 years. Clinical concepts as they relate to things that the clinician should consider, be mindful of, and cautiously move through for optimal outcome and patient acceptance, appreciation and apprehensive containment, are outlined whenever possible. Much of this discussion is generated by real time through class participation and input. This is the most interactive PRI course available, because of the availability of the founder’s mindset and the time spent on each step and the integrative mindful purpose of each individual step.

PRI Non-Manual Techniques Workshop

Additional considerations that I offer, enhances the existential experience and reasoning. This dialogue not only focuses on the technique’s interdimensional outcome, but allows the room of attendees to watch, listen and experience these relationships first hand. This is what I absolutely enjoy the most. To listen to the feedback the attendee gives, describes and relates to after the processed feedforward sense is felt, cortically incorporated and functionally measured, is so humbling and consistently rewarding for both the avatar on stage, i.e. the person who is performing the technique he or she selected, and the engaged viewers. 

PRI Non-Manual Techniques Workshop

Each of the 13 techniques that were dissected in this manner, offered positional, selection, reference, referent, and respiratory considerations for neuro-cognitive repeatable results. Quite honestly, the time preparing for these two days and its unique material, after Jen gave me each separate techniques that were requested by this particular course’s attendees, was as enjoyable as the actual class time. This time spent on outlining key concepts, application, steps, integrative sense, and desired outcomes, acknowledges my historical perspective and strengthens this Institute’s future application of such needed integrated and desired processing. I look forward to any and all of the future Non-Manual days ahead of me, and hope you will consider the possibilities you personally will experience, if you accept this invitation to participate with me. Thank you!

PRI Non-Manual Techniques Workshop

PRI Non-Manual Techniques Workshop

PRI Non-Manual Techniqeus Workshop

Posted February 6, 2020 at 9:54PM
Categories: Courses Techniques Science
First 1 2 3 4 5 6 7 8 9 10 11 ... Last

Products

CD Bundles
Non-manual Techniques
Manual Techniques DVD
Manual Techniques
Illustrations
PRIVY
PRI Video for You