Science

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

"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
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