Science

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

"A PRI Approach to Chiropractic Alignment of The Spine", was presented by Ron Hruska on March 10th at the ACA Rehab Council! The two days prior to this presentation were as significant as the topics being discussed. What culminated as a room full of Chiropractic Doctors Blowing up a Balloon, started with collaborative discussions revolving around concepts such as rotation, orientation, respiration and, perhaps most prevalent, alignment of the spine. Coincidentally these concepts aligned themselves well with what was already being discussed by other vendors, presenters and most importantly Students.

ACA Rehab Council, Ron Hruska and Robert Skip George

After recently attending the APTA Combined Sections and then two months later this conference, it is apparent that the desire to collaborate and integrate among professions is at an all-time high! The students of these organizations are approaching their careers with an Integrative mindset and an overall interest in collaboration. Ron enjoyed discussing the future of this integrative approach with each of the student chiropractors in attendance and was able to show the powerful potential that PRI has within their profession. The group from Keiser University had a strong student presence and a few poster presentations even discussed topics such as the “Zone of Apposition” and Respiration as primary concepts! It was so awesome to see this PRI activity occurring without previous knowledge or awareness of its incurrence!

Ron Hruska instructing a PRI non-manual technique at the ACA Rehab Council

On the second day we were met by PRI Faculty member Dr. Robert “Skip” George, which allowed us to strengthen the Link between the Director of our Institute, a Physical Therapist, and the Chiropractors in attendance. Skip is a walking Reference Center of clinical knowledge and experience, and his input within our discussions was unprecedented. PRI truly is a common language that can be used and utilized by us all, not just one group or another. This particular group of Rehab professionals understood that long before our arrival.

Dr. Robert Skip George introducing Ron Hruska to the ACA Rehab group

They were not only excited and welcoming of our Institute but embraced the collaboration and encouraged it within their own organization. It was quite frankly refreshing to be a part of. With Ron’s presentation falling on the last day of this conference we were excited to see how many attendees stayed around to hear the culmination of Ron’s career. Skip gave a wonderful introduction about his relationship with Ron and this Institute to over 60 filled seats! PRI objective testing and core concepts were strengthened and the use of a few Non-Manual techniques allowed the group to appreciate the ability to integrate it into their daily practice.

Postural Restoration at the ACA Rehab Council

Thank you to President Dr. Jeff Tucker, and everyone at the American Chiropractic Association Rehab Council for inviting us to this symposium. I would encourage anyone that appreciates this Science to strongly consider reaching out to an integrative minded Chiropractor in their area to collaborate with, converse with and possibly be challenged by, in order to strengthen the relationship between us all! We are excited for the future growth and collaboration between our organizations, and are hopeful that your patients and clients will see a direct increase in their results!

Posted March 19, 2019 at 5:39PM
Categories: Clinicians Courses Science

Last weekend I enjoyed a warm welcome in the warm climate of New Mexico that provided a welcomed pause in the coldest winter in my state since 1931. Truly can’t thank Nancy Allen and the attendees at UNM Lovelace Rehab Hospital in Albuquerque for their time, energy and attendance to the many details and nuances of Pelvis Restoration. With nearly all course attendees attending their first Pelvis Restoration course and the majority attending their first PRI course, this was a unique opportunity for this instructor to be able to gear the course slightly more focally to a specific perspective.

This entire group embraced tangible lab time and during labs we had the opportunity to look at many facilitation techniques and demonstrate a series of inhibition techniques for those whose 8 Pelvis Restoration special tests revealed specific need for inhibition in 4 quadrants of the pelvis, two in the inlet and outlet respectively. Thanks to Colin Kidwell, Mary Claire “Intensity” Aaron, “athletic play Ben” Hendricks, Amy Link and nearly every attendee for volunteering for demonstrations for everything from a posterior mediastinum with volume to a left posterior outlet in need of inhibition.

Case studies and application questions abounded and there were many discussing integration concepts, feeling the principles of Pelvis PRI while practicing techniques intermittently throughout the back half of day two…reminding me how much I enjoy seeing the eyes of new attendees light up when the science of PRI “clicks” for the first time.

 Thanks again Nancy for staying the course with PRI and providing a great weekend of learning for all of us. Warm weekend on many fronts!

Posted March 18, 2019 at 4:59PM
Categories: Courses Science

I headed to Philadelphia this past weekend and actually went to Cherry Hill, New Jersey to teach one of my absolute favorite classes: Impingement and Instability. There were 20 of us at TTR performance (The Training Room Physical Therapy) where Nick Perugini DPT, CSCS and Ryan Wolff, DPT played host and made sure that we were well taken care of. This was my first time and TTR and the facility is huge!

PRI Impingment & Instability course. The training room, Cherry Hill, NJ

New Jersey and the Philly area are becoming a strong hot bed of PRI as the area continues to grow steadily in this knowledge. The folks in the class were switched-on and asked tons of questions as we moved through the material that focuses on a deep understanding of ground-up sensation and the use of neurological "reference centers" in the human form to aid in repositioning, establishment of neutrality, and repatterning/retraining.

PRI Impingement and Instability course

we moved through management of impingement areas in the ankle, knees, hips and shoulders. We covered the concept that most folks really WANT to impinge! if you can't eliminate the desire to impinge then you will never reduce patient symptoms. We debunked myths through citation of multiple research articles that help the learner understand WHY we do what we do in PRI. if you have never taken this class before, I strongly urge you to consider getting signed up for it. it is truly a game changer for all who complete this rigorous material. I teach this next in in August in Austin, TX but James is teaching it in April and June in NC and IL. Ron is doing it in Germany in September! Get registered!

Posted March 15, 2019 at 8:37PM
Categories: Clinicians Courses Science

I had a great time this weekend teaching Myokinematics of the Hip and Pelvis at Body Dynamics in Falls Church, VA. I grew up not far from Falls Church and my college roommate lives in Rockville MD. I got to spend some time with an old friend and teach a course that I consider an old friend. Myokin is a great course to start a PRI journey and that is exactly what 90% of my course attendees were experiencing. We took an OBER and Thomas Test and turned them from orthopedic soft tissue tests to the neuro respiratory positional tests as they provide clinical evidence of an asymmetrical pattern.

PRI Myokinematic Restoration Course Demonstration

There was as much fog in the room at 4:00pm on Saturday as there was on my drive up to VA on Friday night! But… by Sunday at 5pm the sun was out and the connections in their new PRI minds were clear as the weather outside!

PRI is an integrated science and Myokin of the hip and pelvis is just one piece of an integrated system. But what would a Diaphragm be without a solid pelvic base and a good appreciation of AFIR in stance and AFER in swing!

I was honored to have Dr. Felix Liao, DDS author of “6 foot Tiger in a 3-foot cage”! Dr. Liao considers himself an airway mouth dentist. He was in attendance to understand the perspective of the PRI therapist, so he can better understand the neuro mechanics of PRI and how he can better help patients integrate!

Jennifer Gamboa, Lisa Clarkson and the entire staff of Body Dynamics welcomed all of us to their clinic. These professionals all work well together and it was so fun to watch how they picked right up on PRI methods. Lisa had been exposed to PRI out in Seattle as a student. She did a great job hosting us this weekend!

This class kept me on my toes and asked awesome questions to better understands how to integrate PRI into the current practice. I always enjoy teach Myokinematics of the Hip and Pelvis. It helps further stabilize my own clinical practice and reinforce the importance of sound PRI fundamentals in my treatment plan.

Posted March 13, 2019 at 5:01PM
Categories: Courses Techniques Science

I am excited to introduce "The Postural Restoration Podcast" with #PRINation! Many of you may be familiar with our featured interviews, and you may have even been highlighted on one in the past. We will now be using this Podcast for our Featured
Interviews
as a way to better familiarize the general public with not only our Faculty but also our Certified Providers. Check out the description of the first episode below, and I promise that not every episode will be this lengthy!

PS. Make sure to check out the History of PRI - The Foundation of the Postural Restoration Institute (August 2008) written by Ron in 2008, to discover how far we've come over the past decade!

Episode 1: The Foundation of the Postural Restoration Institute

"Welcome to the first episode of the Postural Restoration Podcast! In this Episode, I am joined by Founder and Director of the Postural Restoration Institute, Ron Hruska. The foundation of the Postural Restoration Institute resulted from many years of Clinical Practice and a strong interest in the patterns and positioning that at the time seemed to be the cause of many patients’ pain and dysfunction.

Ron discusses his time in Graduate school pursuing a Master’s in Public Administration after receiving his Physical Therapy degree from the University Of Nebraska Medical Center. His time working at the V.A. Medical Hospital as well as his eventual role as Director of Physical Therapy at St. Elizabeth's Hospital in Lincoln, NE both played roles in his desire to look at and treat the human body through a multidisciplinary, systematic approach.

This led Ron to create other ways of treating patterned dysfunction, initially through the use of the first “Re-Positioning” device called Protonics. Although Protonics looked and seemed to function to many in the orthopedic world as a Patello-Femoral “Brace”, it was actually much more. Using this device allowed him to "Re-Pattern” bi-lateral chains of muscle and look at orthopedics from a Femoral-Patella lens.

Eventually this device left Ron with the desire to move into the private practice setting, in order to dedicate more time to roles with the APTA Association, and more time dedicated to learning and discovering further ways to develop his ideas. Protonics allowed him to connect with and teach other clinicians, including some of the first PRI Faculty members. Following the creation of the Hruska Clinic, Restorative Physical Therapy Services in 1999, Ron worked with fellow Physical Therapist Jason Masek and others to create some of the earliest PRI Non-Manual Techniques.

As this science continued to grow, PRI Director Janie Ebmeier was put in charge of helping to develop what would become the first Postural Restoration course which would later be renamed to “Postural Respiration”. With the foundation of the Postural Restoration Institute in 2000, other courses including the "Influence of the Pelvic-Femoral Complex" which was later called Myokinematic Restoration was a quick addition. We now are proud to offer more than 15 different courses, which have been developed to build upon these three Primary Courses

I welcome you to join us on this journey as we continue to explore how the creation of this science has changed the way coaches and clinicians approach the treatment of the human body."

The Postural Restoration Podcast
 

Louisiana!

Mandeville, Louisiana to be exact. I went down to Renew Physical Therapy to visit with some of the best folks on earth down in God’s country. Louisiana is a sportsman’s paradise and so many of the course attendees felt, to me, like kindred spirits. The class was Postural Respiration which truly is the flagship of PRI. This was the new and improved Respiration class and I stumbled a good bit as I worked my way through the rearranged PowerPoint and program. But I must say that Chris and Karlie McDougall DPT were such completely kind and forgiving hosts. They indulged my struggles and made me feel like one of the family.

We had two students in our class from good-old Oday Lavergne’s clinic up in Alexandria; Phillip Wuellner and Erik Landstrom but they were not our youngest participants. The title of youngest participant goes to Chris and Karlie’s daughter Aubrey who was only 12 weeks old! Sometimes she cheered what was being said and others....well....she voiced her disapproval! I think she may have had a real problem with patterned, non-reciprocating, non-alternating diaphragmatic function. Because of that, I’m sure that she was in the right class. I did notice that she didn’t get a certificate of attendance. I’ll be speaking to Jen Platt about that oversight.

Mike Cantrell, With Chris and Karly McDougall. Postural Respiration Course

Kyle Babin DPT, PRC was on hand to assist in our lab sessions and Kyle and I go pretty far back from his days in Texas. A kind and humble man, he truly provided clinical insight that was extremely helpful. I arrived a day early and spent a day in New Orleans touring the French Quarter and sampling the cuisine and sat in a wonderful throne at the Saint Hotel lobby.

As PRI continues to grow and be a game changer for so many professionals, I find myself humbled and grateful to be chosen as a messenger. I am nowhere near worthy to be such, but will trust the wisdom of my mentor and friend, Ron Hruska as he continues to drive me to follow his mandate and be a mentor. Thanks to all of you at PRI and those of you in PRI Nation for your trust in me. I will do my absolute best to never let you down. And to the class participants: thanks for allowing me the opportunity to visit with you and share the exciting information of Postural Respiration!

Postural Respiration Course Renew Physcial Therapy. Covington, LA

Posted February 20, 2019 at 5:28PM
Categories: Clinicians Courses Science

Coming from the Polar Vortex, it was a refreshing respite to be in sunny Arizona for the first Myokinematic Restoration course of 2019. We were fortunate enough to have a very diverse class of attendees ranging from chiropractors, to strength coaches, to physical therapists working in various settings, to certified athletic trainers working with professional athletes.

Myokinematic Restoration is a fantastic course to kick-start one's PRI journey. This was the rare introductory course where over half of the attendees had been to previous PRI courses. This provided us a unique opportunity to delve into other material that we wouldn't otherwise be able to cover. We had excellent questions and excellent lab time as a result.

Lab Demonstration of PRI Testing, Myokinematic Restoration, Chandler, AZ

One of the topics that we were able to cover in this course that previous attendees appreciated was the Hruska Abduction Lift Test. This test is taught in depth in Pelvis Restoration as well, but for those who had attended Myokin previously, this was a new topic for them. Additionally, it provided the newcomers a chance to be able to appreciate how PRI integrates the gait cycle and breathing into treatment from beginning to end. We were also able to briefly touch on other topics, such as PEC management and rib cage IR, because of the previous experience of many of the attendees. However, we were also able to stay very on point and keep the course on track for those who were attending for the first time.

Dan Houglum demonstrating the Hruska Abduction Lift Test, Myokinematic Restoration Course

My thanks to Jim Wittekind, PT, PRC, for his help during lab and insightful discussion. The staff from 360 Physical Therapy, Becky Fox, Jennifer Peters, Krystina Leal, Caleb Walls, and Jason Roe, were perfect hosts. My thanks to Nathan Whitney, Ginsie Huntley, Liz Cash, Chris Burke, and Garrett Chin for their questions and discussion.

Lab Demonstration, Myokinematic Restoration course, Chandler, AZ

At the end of the day, we all need to be a little more like Bruce Wayne, and less like Batman. And we need to use our "good boy band" of muscles, instead of the "bad boy band" that the L AIC often puts us into. As a result of our conversation around normal mechanics vs. compensatory mechanics relative to the L AIC pattern, we were able to delve into how these analogies applied to our assessments and treatment approach. We were able to spend a lot of time on muscle activity as well as how to apply the Hruska Abduction and Adduction Lift tests into assessment and PRI non-manual activity selection.

Hruska Abduction Lift Test, Myokinematic Restoration Tweet

We were blessed with a great group of movement professionals, and I was fortunate to be able to help them either continue or start their PRI journey. Thanks for a great weekend!

Posted February 14, 2019 at 5:29PM
Categories: Courses Techniques Science
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