Clinicians

Physical Therapist- Part - Time moving to Full-Time

Fluid Health & Fitness is an orthopedic and sports medicine center with locations in Stillwater, MN and Sweere Pain Management Center in Northwestern Health and Sciences University in Bloomington, MN. We are looking for Physical Therapist who has a thorough understanding of function movement. This a part time position that will transition to full time. Fluid is an one of a kind training system that applies the study of optimal human movement to rehabilitate, restore and progress its members to optimal health. We facilitate this through one-on-one, group and virtual training platforms. We use our unique, proprietary training model and by using four progressive stages of development, we match members to their current level of conditioning. Our system adapts and develops exercises that allow individuals to perform activities of everyday life more easily and without the risk of injury.

If you would like to learn more about Fluid, check out our webpage at fluidhealthandfitness.com or give us a call at 844-358-4343.

Posted January 17, 2022 at 4:54PM
Categories: Clinicians

PT Wanted 

Busy chiropractic clinic in West Des Moines, Iowa is expanding to a new facility and in search of a PRI PT to both help treat our existing patients and also build their own business in a collaborative patient-centered environment.  

As an independent contractor, you decide your hours, patient load, and earning potential (which can be hugely lucrative in our model). We provide the facilities, staff, billing, and collections so you get to focus on patient care.

We currently refer out cases to local PTs so joining our clinic will jump-start building your business - we have a huge patient base that is looking to get their problems fixed!  Check us out at Ashworthchiro.com and email us at drmatt@ashworthchiro.com

Posted December 23, 2021 at 1:24AM
Categories: Clinicians

We are excited to announce and congratulate the Postural Restoration Certified (PRC) Class of 2021! PRC credentialing is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRC application, and successfully participating in practical and analytical testing. This week, 7 clinicians earned the designation of Postural Restoration Certified (PRC) under the direction of Ron Hruska, Louise Kelley, Dan Houglum, and Jennifer Platt earlier this week.

The Postural Restoration Institute established this certification process in 2004 as a way to recognize and identify those individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute. The PRC credentialing program is available to physical therapists, physical therapist assistants, occupational therapists, and chiropractors who have attended PRI courses, demonstrated a thorough understanding of the science through completion of the PRC application, and successfully participate in both clinical and analytical testing. To date, 233 professionals have earned the designation of Postural Restoration Certified (PRC).

To view/download the photos click here.

Back Row: Lousie Kelley, Ron Hruska, Brad Yotty, Beth Quinn, Locatelli Rao, Dan Houglum

Front Row: Jamie McMurtrey, Derya Anderson, Cody Gillis, Rie Takakura, Jennifer Platt

Posted December 17, 2021 at 5:58PM

Timing is a tricky thing, isn't it? Difficult to measure. Tough to describe. Hard to master. But once you find timing, or timing finds you, it can dramatically change any outcome. Aren't we all searching for that nebulous and elusive thing called "timing"? One of the main overall goals of PRI is to improve neuromuscular timing to reduce patterned behavior. Timing is kind of like a unicorn with a majestic, golden mane; you know it when you see it.   

Last weekend it was my distinct pleasure to teach Myokinematic Restoration to 68 movement specialists, 45 of which were new to the science of PRI. We had 10 individuals in person, and two of them were my good friends Craig Depperschmidt, DPT, PRC and Jason Miller, PT, PRC, both of whom are new additions to our PRI faculty. We are lucky to have them. We had a group of 18 co-workers attending the live-stream together. It was daylight savings, which means we got an extra hour of sleep Saturday night. And we had a unicorn in our midst. We were fortunate to have had several unique events occur this weekend that I feel blessed to have all been able to share the experience with 68 friends, old and new.

One of our objectives in this course is to learn how to correctly interpret the tests and let them lead us into our treatment approach. Another objective is to understand how and when to use ligamentous muscle to stabilize an unstable hip capsule. For those of you who have taken this course before, you've experienced the lab portion on the second day, and we usually are able to get to around 7 or so PRI non-manual techniques. On this unique weekend, we were able to get to 15 techniques in lab. Part of it was the small class size during lab, but Craig and Jason were an enormous reason we were able to get to so many activities. It was just a unique experience afforded to those in attendance in-person and on the live stream. This extensive lab time allowed us to dive into the algorithms on pages 49 and 52, as well as the inhibition section of the appendix.  We used page 48 as a treatment flow chart, and proceeded through that page as a decision-making tree to help the attendees solidify examples of how to apply the science of PRI upon returning to their clients and patients. Do what the tests tell you to do. Reposition. Do page 39. Retest. Do what the tests tell you to do.

One of the best teaching examples for this course is an example of someone who fits the description of the algorithm on page 49, and the algorithm on page 52. Ron did this for me in my very first Myokin class in 2004, and it helped me remember how different these patients can present. It is pretty easy to find someone in the course during lab who presents with testing representative of page 52; however, finding someone who fits the description on page 49 is kind of like finding a majestic unicorn with a flowing golden mane. In 6 years of teaching this course I had only met one unicorn, until this weekend. Our unicorn's name was Brett, and he provided us with an exceptional example of how and why testing matters, and how testing helps drive the treatment decision-making tree on page 48.  

My thanks to all of those who attended on live-stream. Your questions clearly indicate you were engaged and were thinking ahead to future courses. Your questions were spot-on and I am looking forward to seeing many, many of you in future PRI courses.
 
My sincere thanks to Brett Shulte, Alison Janky, Savannah DeVault, and Angie Nixon. Your willingness to be our models for demonstration provided all of us with an exceptional learning experience. My thanks to RJ for his excellent production of our live stream, and to Jason and Craig for keeping me honest and helping us get through as much lab as we did.  

So, to recap......
Fantastic in-person and live stream audience. Excellent questions all around. Unbelievable lab. A splendid unicorn. An extra hour of sleep.
Timing is everything.  

Posted November 18, 2021 at 6:50PM

Thank you to Impact Physical Medicine and Aquatic Center for hosting Pelvis Restoration this past weekend. It was a wonderful weekend of integration and learning with fellow colleagues as we dissected the pelvic inlet and outlet. Our goals were to Reposition (inhibit), Re-train (facilitate) and Restore (alternate, oscillate, resonate, vibrate).  Participants were energized with open minds with 7 new course attendees to PRI, 3 PRC’s, and the rest attending another PRI course with various backgrounds. I feel the attendees gained a better understanding with the Pelvic Ascension Drop Test (frontal plane stance phase) and Passive Abduction Raise Test (frontal plane swing phase) with application of the Hruska Abduction Lift test to assist with the pelvic inlet or outlet restoration. From Shirley’s purple highlighted hair reminding of us of internal rotation/inhalation, to Lindsey’s awesome questions, to Mylan’s “light bulb” moments—it gave me energy and found me grateful. Mike, Mara and Christie (PRC’s and lab assistancts) thank you for supporting the Institute and for your passion for the science of PRI.

Malta, New York’s colorful foliage and Capital Area Physical Therapy and Wellness welcomed Postural Respiration into its PT-owned clinic. Course attendees had expertise across multiple disciplines -- physical therapy, strength and conditioning, internal medicine -- and patient populations, from pediatrics, geriatrics, basal ganglia and other movement disorders, and high school through professional athletics. Most expressed gratitude and satisfaction with getting back to a live course following the covid sequester. With so much of the weekend devoted to hands-on lab time, Postural Respiration is better experienced live.

Postural Respiration, Postural Restoration, Primary Course, Diaphragmatic Breathing, Zone of Apposition

Postural Respiration

Abundant research exists that describes the role of the diaphragm in facilitating physiologic processes and homeostasis. Less understood and studied is its role in regulating pressure within the chambers of the body to produce integrated and coordinated movement. When the diaphragm’s shape is altered from patterned postural positions, movements, and behavior, the result is asymmetrical air flow patterns that become ever more patterned. Practitioners encounter this phenomenon every day in our patients/clients and witness its influence on autonomic variability, a concept fundamental to the Postural Restoration Institute.  

Throughout the weekend, we considered questions such as:  
-    How do the left and right diaphragm position and function influence rest, recovery, and performance?  
-     Why are the right triceps, left internal obliques and transverse abdominus, and bilateral low traps and serratus anterior so crucial in establishing and maintaining effective length-tension properties of the thoracic diaphragm? And how do they influence new, unfamiliar, yet optimal, patterns of movement in our patients’/clients’ day-to-day lives?
-      When and why do the scalenes, notably on the right, conspire with the subclavius and pec minor, to produce unrelenting activity and the pathological respiratory syndrome known as superior T4?
-     How does the PRI paradigm fit within a clinician’s current approach to evaluation and treatment?  
-      If you have only thirty minutes with a patient, how do you prioritize?  
-     Why/how do patients/clients benefit from reaching activities? Balloon blowing?

It was a treat to be reunited with Kathy Metzger, PT, PRC, a fellow member of the PRC squad of 2011. Kathy applied her experienced hands on many rib cages to teach the nuances of objective tests and treatment techniques.  Thank you for all your help!  

We greatly appreciate our models:  Christopher Denio, DPT, Mike DeMille, DPT, PRC, Andrew Gaetano, DPT, Ken Jin, DPT, and Trisha Livermore, DPT.  Your willingness to participate allowed all of us to gain a deeper understanding of the tests, interpretations, and techniques.

    

A special thank you to Evan Marsh, DPT, and Andrew Gaetano, of Capital Area Physical Therapy and Wellness, for opening your doors and welcoming this wonderful group of clinicians! 

Posted October 20, 2021 at 1:30PM
Categories: Clinicians Courses Science

As we first announced a couple months ago, we are excited to now offer a PRI Mini Residency Program, a 6-week formal program of post-professional education and mentorship for PRI-minded healthcare and movement professionals that is designed to enhance one’s understanding and application of PRI concepts, objective testing, and patient/client management. The foundational science from the Postural Restoration Institute’s three primary courses will be strongly emphasized by all PRI Mini Residency Centers, however each PRI Mini Residency Center offers a unique environment and experience, and many residency centers will also include exposure to interdisciplinary integration with other healthcare or movement professionals.  

This PRI Mini Residency Program is designed for healthcare or movement professionals who are self-directed learners, have completed the required PRI coursework, and would like to enhance their clinical reasoning, interpersonal communication and dialogue using PRI terminology with other professionals as well as patients or clients, and application skills of the science of Postural Restoration® through one-on-one clinical education and mentorship with a PRC or PRT professional at a PRI Mini Residency Center.

The PRI Mini Residency Program website page is now up and running, and applications are being accepted! CLICK HERE to learn more about the PRI Mini Residency Centers that are currently accepting residents, application details, along with answers to questions that you might have. If after visiting this page, you still have questions about this program, please don't hesitate to contact me! Or, if you have questions for a PRI Mini Residency Center that you are interested in, you will find the contact information for each residency center on the "Residency Centers" tab of this page.

Posted October 6, 2021 at 4:58PM
Categories: Clinicians Science

The Cervical Revolution Course last weekend was taken to a new level in it's development of being the course that introduces " top down" concepts and the neurologic connection of the body with the brain and cranium.  What made this cervical-cranial-occlusal course extraordinary had many components. The technology provided by an international audience online revealed a growing international hunger for PRI. From the Western Pacific, Australia, Japan, Hong Kong, New Zealand and Singapore were represented. On the other side of the world students from Canada, Iceland, Belarus, Malta, Ireland, Poland and the UK were present as well as all over the USA. There was a great local representation from Nebraska in the live audience that provided energy and interest with questions, feedback and lab demonstration that all in attendance benefitted from.


One of the best questions, and one that is central to this course, is how is it that the occipital bone can move into A/O flexion on one side and A/O extension on the other if it is one bone? During tri-planer movement of this highly neurologic joint a sliding or gliding of the condyles of the occiput in the fossa of the atlas provides a rocking motion the looks like a bowl (occiput) rolling in a tri-planer motion side to side with one side going up and forward as the other side is coming back and down in a balanced alternating fashion. If this alternating/oscillating movement ceases to occur driving the occiput down into the atlas coming up on the ride side, torsions that are torque-like scoliosis patterns occur in the cranium. Hence, in this regard, the neck runs the neurologic and cranial/occlusal system.

Cervical Revolution, Postural Restoration Course, Secondary Course


What really made this course is not only the student participation and international diversity, but Dr. James Carlson, a world renown dentist, was in attendance. As the course got deeper into the cervical-cranial-occlusal subjects, this instructor went to student mode personally and asked Dr. Carlson for his input. I'm not sure if new students realize what a special opportunity it was to have Dr. Carlson describe occlusal issues as it applies to this course and a holistic approach it provides to all healthcare disciplines in attendance.


What then added to this course was to have PRI faculty members Louise Kelly and Dan Hoglum in attendance. Big "wow" factor for the entire weekend. Louise broke down the Standing Stomatonathic Squat in such detail that described a bottom up and top down integration of ground, vision, occlusion. She will be teaching Cervical Revolution soon and not to be missed!  Dan Hoglum is the Impingement and Instability "rock" in PRI and provided a powerful, concise description of one of the main concepts of this course being "Top Down"!  Both Louise and Dan brought "extra credit" and value along with Dr. Carlson to all our learning experience.


There is no way this weekend could have been pulled off without Jennifer Platt getting to the institute early and the last one to leave the building to facilitate the entire weekend and make it a successful learning environment for all. None of this could happen without her. Not only that, but Jen has so much experience in these courses as well as PRIVY and her knowledge and sharing what she knows gave this weekend so much more depth and color. To my "co-instructors", Dr. Carlson, Louise, Dan and Jen thank you all. And to everyone in attendance thank you for being such a great group!

Posted October 5, 2021 at 4:06PM
Categories: Clinicians Courses Science

Hello fellow scoliosis practitioners and PRI NATION! We are offering our STRATER Level One course via Live Stream In October!

A 3-Dimensional Approach for the Conservative Treatment of Scoliosis

LIVE STREAM: Saturday October 2nd and Sunday October 3rd, 2021

15 CEU’s from North Carolina Physical Therapy Association

This introductory lecture and lab course is designed to teach scoliosis practitioners assessment and treatment techniques for adolescents and adults with curvature of the spine. Participants will gain a greater understanding of:

  • Tri-planar asymmetry in scoliosis
  • Factors determining risk of scoliosis progression
  • Spinal precautions
  • Understanding curve patterns
  • Safe performance of ADLs
  • Screening and evaluation of scoliosis
  • Reviewing x-rays in scoliosis
  • Bracing in scoliosis: types & necessity
  • Specific 3-dimensional treatment techniques
  • Special considerations for adults with scoliosis

All course instructors hold multiple, advanced certifications pertaining to clinical management of scoliosis and actively treat patients with scoliosis as the core of our practice: 

Susan Henning, PT, PRC, SBC-C2 

Jean Masse, PT, DPT, PRC, OCS, ATC, SBC-C2 

Lisa Mangino, PT, DPT, C/NDT, PCS, PRC, SBC-C2

See also instructors' related publication in: Innovations in Spinal Deformities and Postural Disorders

For more information, please see our flyer!

To Register, go to https://straterscoliosis.com/course-registration

We hope to see you virtually in October!

After a nearly 18-month hiatus, it was a thrill to present Postural Respiration to my fellow clinicians in the very place the science originated. The combination of live and zoom attendees -- PTs, PTAs, ATCs, Massage Therapists, Chiropractors, Students, Strength and Conditioning Specialists, a Pilates Instructor, and a Kinesiologist -- hailed from the US, Canada, Germany, and Ireland.

The weekend was devoted to the asymmetrical, patterned thoracic diaphragm and its influence on the autonomic nervous system, patterned movement, and the brain’s sense of itself in space. We learned that our asymmetrical body is a necessary design for survival and is kept “in check” when we engage in varied activities throughout our lives. However, most of our patients-clients fail to do so, which kick starts pain, pathology, and injury.

As the Olympics come to their conclusion, it seems apt to compare PRI’s treatment approach to a track relay:
Leading off and exploding out of the blocks are the abdominals (internal obliques and transverse abdominus), which enable full lung expulsion of air and establish the (left hemi-) diaphragm ZOA.
The second leg, the diaphragm itself, now pulls air in with an adequate ZOA and hands off the baton to the third leg…
…the rib cage, whose external rotation and internal rotation properties are restored, particularly in the left posterior mediastinum and right apical and lateral chest wall regions.
Finally, our anchor leg, the lungs, bring the baton home. They now have the space to expand into and out of regions that were previously closed off, for the health of the many vital vessels that travel in, around, and through the thorax.  Moreover, the restoration of alternating, reciprocal lung compression-expansion produces alternating, reciprocal movement, both simple and complex.

More HERE

Ample lab time was devoted to assessment of the patterned body so that each attendee had confidence come Monday morning with replicating the tests on their patient-client. Instruction in manual rib cage techniques was also heavily emphasized, so that attendees had both observational and tactile sense of patterned air flow. Finally, many non-manual techniques were discussed and performed, including when and why you choose them and how to coach your patient-client through them.

Thank you to all of those who asked questions. You enhanced the course experience for all. Thank you to our avatars Brett Dougherty, PT, Matt Mandich, SCCC, CSCCA,  Joshua Werk, ATC, CSCS, and Tammi Zimmerman, LMT for allowing us to bring the tests and techniques to life.     

Thank you to Justin Pastoor, MS, CSCS, for your clear verbal instruction while tests and techniques were demonstrated.  

I now fully understand what Ron means when he says he couldn’t have presented the material with the same easy flow and energy without the assistance of Jen Platt. Thank you for ensuring there were no technology glitches, deftly navigating the camera angles, monitoring questions, and keeping this instructor and live attendees well-hydrated and fed.

Looking forward to seeing many of you again as you continue your PRI journey!

Posted August 18, 2021 at 3:40PM
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