Clinicians

"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

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

Minneapolis, Minnesota at Impact Physical Medicine and PRISM Aquatics Center. That’s where I spent this past weekend teaching Cervical Revolution to a group of 34 movement specialists who had a profound interest in PRI and the myriad compensatory strategies that humans develop to manage the neck and head. Stan Babel, the owner of Impact, is a powerhouse and a truly dedicated fan of PRI and goes way back to the early days of PRI. He worked with Ron long ago as this science was being first brought forward. He and Ron built the first PRISM pool in the world at Impact and it is still going today. Christie Amundsen PT, DPT, HFS, PRT and Mara Brandsoy OTR/L, PRC helped me get settled in and assisted me with our labs. Those two are just about the best and listening to them talk with course attendees and with Stan made me feel like one of the family. I always feel so welcome there. The Impact crew really knows their stuff.

This Cervical Revolution class is such a game-changer for so many attendees and it can be for you as well. Did you know that cranial strain patterns as identified in the literature can and are frequently reduced through breathing techniques? Did you know that those same strain patterns are the result of cervical spine positioning? Did you further know that dental integration with PRI certified clinicians is an excellent mechanism for reduction of cervical patterned movement (or lack there of)? Did you know that dentists regularly attend PRI courses? This is because they realize that PRI provides them with the absolute best mechanism for aiding them in understanding the complexity of their neurological oral appliances. Our courses also arm them with understanding of a wide variety of other oral appliances as well! It is our hope that you will discover these exciting and new ways of learning the complexity of the human body as it relates to asymmetry. I hope I see you soon in a Cervical Revolution class. You’ll be glad you attended!

It was a very cold weekend here in Lincoln Nebraska, and as a result of the weather and having a weekend off from course instruction, I had the opportunity to read, reflect and integrate. Therefore, it was a great weekend. This morning, I am reflecting again on material I read and perused, some of which was written by our speakers who are coming to Lincoln in April for the Spring Symposium. It is difficult to focus on what I need to do this week, because of my excitement for this collaborative event. Each of the speakers I have met and talked to in one form or another, and they all are people that have so much in common and so much to offer because of their dedicated work and dedicated pursuance of advanced work that is built off of integrative collaboration. I look forward to you meeting them and learn how they will help you advance your effort with airway oscillation, incorporation of glottal alignment and regulation of vibration in treating conditions associated with postural asymmetry.

After spending a day with Ruth Hennessy and some of her vocal clients a few days ago, while in NYC, I received this text message from Ruth. “I have a voice student I Skype with in Australia who has, for several years, been telling me about her amazing osteopath and how we are so on the same wavelength. Yep, it’s Rosalba Courtney! My student has taken some of her breathing classes in Sydney. Small world!”

This weekend of cogitation has reminded me of how small of a world it really is, when you reflect on how our interpersonal lives are really tied to those with similar adventures, study, interests, habits and relationships. All of this year’s Symposium speakers have two things in common, breath and body position. And I can’t wait to see and hear them interact with each other and with you in the SAME room.   If you have not decided yet on whether or not to come to this opportunity, reconsider what I reflected on this weekend; this unique personal connection of our ‘small worlds’ WILL NOT happen again like it will on April 11th and 12th. For those of you coming, I am eager for you to meet these speakers and experience the energy they will bring you, and your clients or patients through this assembly. Over the next few weeks, I will expound on my personal reasons for asking them to participate, and expand and consolidate our ‘small worlds.’

Ron Hruska working with Ruth Hennessy and a voice student

Ron Hruska working with Ruth Hennessy and a voice student

Posted March 5, 2019 at 9:43PM
Categories: Courses Clinicians

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
 

A great weekend in Chicago at Pilates Central with Donna Byrne, PRC and her awesome team of Physical Therapists, Athletic Trainers, and Pilates/Yoga Instructors. Dan Houglum, PRC served as a capable lab assistant and the entire Pilates Central Team were warm and welcome hosts. Besides Donna and Dan, we were grateful to have 3 other PRCs in the course: Jesse Ham, PRC, Alex Maag, PRC and Jill Maida, PRC.

Pilates Central - PRI Integration for Geriatrics Course

Of the 32 people in attendance, 4 of them were first time attendees, and we had fun getting to know them. When you attend an Affiliate Course as your first PRI course, you are an instant VIP and we make sure you feel welcome and that you are not left behind on any of the new concepts. We checked in regularly with the first timers and we were able to stay on track for them throughout both days. In fact, as it turned out, these 4 VIPs ended up having some of the best questions and concept summaries of the entire group. Yes, I'm talking about you Candis. You made Rapid City, South Dakota proud (even though I know you are a transplant). Beyond tailoring the course to first timers, it was great to also expand on some interesting principles for those with more PRI experience. Always fun to keep it simple and also strengthen the experienced.

James Anderson, PRC Instructing a PRI non-manual technique, PRI Integration for Geriatrics course

 The group was grateful for the simplified explanation of AIC patterned development, ZOA acquisition, lateralized frontal plane performance, integrated upright standing dynamics, and gait performance. The use of the PRI Integration for Geriatrics Tests in sidelying and sitting provided some great assessment options for the immobile, frail and chronic, while keeping our focus on gait deficits specific to each side of the body. The Positioning Techniques, the Group Exercise Techniques, the Functional Routines Handout and the appendix full of useful Geriatric exercises were a big hit. The functional bed, recliner, seated, transfer and standing sections in the appendix were a great resource for clinicians working with this type of patient.

James Anderson, PRI Integration for Geriatrics Course

Besides there being 6 PRCs in the room throughout the weekend, there were many in attendance who had been to several PRI classes and had lots of experience using traditional PRI tests and techniques. One of my favorite things about the Affiliate Courses is that they provide a fresh approach and innovative ideas, even for seasoned PRI practitioners. I was reminded of this fact when I received the following message from a fellow PRI Faculty Member and PRC and good friend Jesse Ham: "James, clinically, I am loving the ability to achieve left laterality into the back seat with the posterior mediastinal feel/sensation in seated and being able to reposition a pelvis in hook-lying with alternating respiration. Thank you for adding layers of understanding to what I already knew and appreciated about PRI." You're welcome.

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

Mizzou Therapy Services located at the Missouri Orthopaedic Institute hosted it's first PRI course, Postural Respiration, this past weekend in a beautiful state-of-the-art facility. What made this weekend significant was that nearly two thirds of the attendees were from Mizzou Therapy Services or new to PRI. This holds the promise of a great opportunity for these therapists to collaborate, practice and potentially master the manual and non-manual PRI techniques taught this weekend.

This is the first time this instructor has taught a course with so many participants from the same facility and the energy and enthusiasm from these talented therapists was inspirational! Since most of the class was new to PRI and attending their first course, PRI principles were broken down in detail to provide a solid foundation to a brand new paradigm. Many of the therapists immediately saw the value of Postural Respiration with working with their COPD patients, athletes from the University of Missouri as well as geriatric populations.

Postural Respiration has been updated and revised just this year and Posterior Mediastinum could be another name for this course. Patterns, position and posture of the diaphragm affecting every vital system in the body were defined and explored this weekend. Columbia, MO is a great college town and has tradition at their sports games from their fans. On one side of a group of fans they will shout " M-I-Z" followed by the other group answering "Z-O-U!" for MIZZOU! This weekend the therapists at Mizzou Therapy Services have a new chant which is "M-I-Z" ---"Z-O-A!" for the new awareness of "Zone of Apposition" as described in Postural Respiration!

Many thanks to Joe Pope, PT, PRC for driving in from Eldon, MO to assist. His expertise and skill at describing and expanding on PRI principles and his lab assistance was invaluable. Joe is thoughtful and articulate with his responses and patience. Thank you to all of the staff at MTS including Lindsey, Laura, Mackinzie, Barbie, Katie and all others that helped to organize and clean up at the end of the day. Your energy and assistance with providing such a great facility was much appreciated.

Posted February 8, 2019 at 7:06PM

Having the opportunity to discuss the role of the hypothalamus and integrated thalamic function as they relate to autonomic patterned respiration, physiology, posture and central nervous system compensation, was an enduring dream of mine. I could finally, deliver a course that describes how our autonomic and central nervous systems operate with and from  biased cerebral and cerebellum lateralization, hemispheric specialization, and oscillatory compression and decompression.

Ron Hruska demonstration during Cranial Resolution in Seattle

Over two decades of literature review, clinical application, multi-disciplinary experience and evidence based outcome methodology, built with the help of an Institute I started for these course objectives, fulfilled me in ways that are very difficult to express. I trusted an idiosyncratic educational process that challenged me as a pre-dentistry student. A clairvoyant process that required collegiate patience, faith in humanity and belief in our holistic, biological and neurological system. I appreciated the 41 course ambassadors who also trusted this process. I hope they came away with a sense of how we patterned humans resolve to make sense of what we don’t sense through pattern compensation of air flow, fluid movement, and cavity fluctuation as it relates to ischial and occipital (sacral and cranial) rhythm and thus autonomic processing. 

Christopher Murphy at Cranial Resolution, Alpine Physical Tehrapy

Cranial Resolution Course Attendees, Seattle, WA

This course was strengthened by the input and participation from too many people to list here, but I especially appreciated the support from Erin Coomer DPT,OCS, Laurie Gribschaw PT,DPT,ATC,AT/L,PRC,  Janine Peacock DPT,OCS, Paige Raffo MPT,OCS and Kelly Martin PT.  I could not have asked for a better audience and support group.   There were many reasons I wanted to give this first course in Seattle but three of those reasons are Christopher Murphy DPT,OCS,PRC,  Jeremiah Ferguson DPT,OCS,PRC, and Eli Zygmuntowicz DPT,OCS,PRC. These three men are absolutely the embodiment of family. I will always be grateful for their warmth, charismatic charm and pedagogical approach. I had so much fun and look forward to the next opportunity to talk about pendular parasympathetic process. 

Alpine Physical Therapy

Santa Barbara is one of California's beautiful towns and would be considered one of our seaside gems. Prevail Conditioning and Performance Center was the location of Postural Respiration this past weekend. Owner and operator, Peter Blumert, provided a superior training facility for this weekend which followed his hosting Myokinematic Restoration last November. This weekend was a first for PRI! We introduced our latest revision of Postural Respiration. This course is packed with new material including a new test for posterior mediastinum inhibition called the posterior mediastinum reach test. There have been new documents added to support PRI concepts with loads of references for this course. In addition, case studies have been added and were a big hit with our students!

This was a course loaded with professionals in not only physical therapy, athletic training and sports performance but included an osteopath as well. Postural Respiration really describes how the diaphragm affects every system in the body. This course connects pelvis position to the ribcage and illustrates that breathing can be viewed as the gait cycle allowing ribcages to actually walk! That seems like such a far-fetched concept to those new to PRI on day one of the course and seems like such a bold statement. By the end of the weekend, every student could see that breathing is walking and the diaphragm and ribcage position and posture is key to tri-planer, dynamic, balanced gait.

We also had a chance to introduce the effects of the diaphragm and the ribcage to the cervical spine and jaw as well. The connection with Postural Respiration and the neck and jaw was experienced by a student when testing HGIR, or internal rotation of a Humerus in a glenoid fossa. She experienced jaw pain during HGIR testing and learned there was a connection of the Omohyoid with shoulder blade, neck and jaw. This was reinforced when the manual technique to release her subclavius muscle was demonstrated. Not only did this technique make her tests neutral but her jaw pain was gone. She also understood that with any manual technique, a non-manual technique and progression via treatment guidelines will be needed. Needless to say she was enthusiastic about continuing her PRI journey! Thank you to Aimee Miyazawa, ATC, PRT for being a seasoned veteran of PRI and a wonderful lab assistant. Thanks again to Peter Blumert for hosting this course as he welcomes Pelvis Restoration later this year.

Posted January 24, 2019 at 9:00PM
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