Clinicians

Had a beautiful weekend with Kasey Aikin, DPT, PRC in my home state of Nevada teaching Myokinematic Restoration to a really great group. A big thank you to our generous host at the University of Nevada Sports Medicine, Jay Henke, M.Ed, LAT, ATC. He made us feel right at home in every way and even provided me with a list of his favorite local places to eat, which is a treat for a foodie like me. The University of Nevada Reno is nestled in the mountains and foothills of northwest Nevada, which is something you really need to see if you haven't been. As an alumni of the University of Nevada, I have really come to appreciate the northwestern Nevada beauty of Reno, Carson City and Lake Tahoe. Returning to my home state helped me again appreciate all the great people who live there.

And it was a treat to be able to co-teach with the newest PRI faculty member in training, Kasey Aikin, DPT, PRC. She does a great job with the Myokinematic Restoration course material and is really able to connect with the class attendees. She is from the great state of Texas and she brings a hospitality all her own wherever she goes. It was an honor to get to team-teach this course with her and to get to both teach and learn from her this weekend. She reaffirmed what I already knew about our PRI Faculty, that we are all unique with our own unique gifts, attributes and passions that allow us to connect in special ways with a variety of course attendees. Kasey is definitely passionate and she made the course experience great for everyone in attendance.

PRI Faculty James Anderson and Kasey Akin co-teaching Myokinematic Restoration

This Myokinematic Restoration course material is really useful for all types of clinicians as well as sports medicine and strength and conditioning professionals for a variety of reasons. First, it outlines which muscles are needed for non-compensatory gait mechanics when in the Left AIC Pattern and what the specific deficits are on each side. Second, it explains and outlines the use of Ligamentous Muscle as a powerful resource for stabilizing hip joint or pelvis instabilities. And third, it provides 2 powerful resources, The Hruska Adduction Lift Test and the Hruska Abduction Lift Test, to monitor pelvic and hip gait performance in all 3 dimensions.

Lab practice during the Postural Restoration Institute Myokinematic Restoration course, Reno, NV
 
I was first drawn to the science of Postural Restoration via the material in this course. It challenged my thinking and gave me a structural framework for prescribing movement and outlining performance that I rely on heavily to this day. The course is a great introduction to PRI for people from all backgrounds and it remains one of my favorite to review, utilize and teach.

Posted August 1, 2019 at 7:07PM
Categories: Clinicians Courses Science

PRI Integration for Fitness and Movement found its way in the New England Region again last weekend in Boston, MA. The summer heat was hot, but our group was hotter! No for real, they were great troopers sweating through the weekend of jam packed labs! We had great space to utilize at Northeastern University to get some awesome lab time in. Thank you to the rockstar Huskies Sports Medicine and Sports Performance staff for hosting!! Their hospitality and commitment to excellence is evident and we are grateful for them hosting this course!

As a teacher you have to gather insight from multiple dimensions to evaluate the effectiveness of your course, looking into people’s eyes to make she they are following along in lecture,  having side conversations, and then watching how people participate in lab all are factors. This group rocked coaching each other in the labs!! The application seen in the labs was spot on and most fun to watch.  Our labs focus on training the abs and hamstrings to support posture and respiration and how to keep the asymmetrical human design balanced through the axial frame to best support and maintain the shape and function of the diaphragms, thoracic cage, and pelvis. We added some bonus lab time in and got 40 people to sled push for thoracic retraction and grounding and do lateral side stepping and retro stairs rhythmically in sync with one another to unlock the frontal plane.  It was a fun weekend!

 The PRI Integration for Fitness and Movement has a couple courses left for 2019. If you are interested, click here to register! We will be outside of Columbus, Ohio next month and Northern Colorado in September. Additionally, we are looking for host sites for next year! If you are interested, please contact PRI directly to let them know! 

Posted July 22, 2019 at 4:21PM

The seeds of PRI science have been planted in the birthplace of philosophy. We have all seen the beneficiaries of Ron Hruska’s Socratic style of teaching. Sharing PRI wisdom in Athens was a natural fit.  
 
Praxis Physical Therapy in Athens graciously hosted this Intro to PRI seminar. Mimi Marsellou PT/ Μιμή Μαρσέλλου PT, M.Sc. and Foteni Largari PT / Φωτεινή Λάγαρη PT have owned and run a women’s health and general PT practice for over 20 years.   
 
How did this come about? A unique professional connection to Greece:
Having had the great fortune to have lived in Greece for 6 years, working in Athens as a PT from 2000 to 2004, including being a PT for the Greek Olympic Committee/Athens summer Olympic and Paralympic games in 2004. When I returned to the US, and discovered PRI in 2008, obtained a PRC certification in 2011 with the culmination of opening my own PRI Center in 2014. Like Odysseus traveling so far only to return home again; this summer presented the opportunity of introducing PRI to rehab professionals in Athens. It is no surprise that they are eager for more.
 
Now that they have been exposed to PRI concepts, there are plans for the home study courses in the near future.   
Who knows, perhaps hosting a course as well. “OPA” PRI!

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Karen Taylor Soiles PRI Inservice Athens Greece Praxis Physical Therapy

Ahh Seattle… How I missed you! I had the absolute pleasure visiting one of the most beautiful places I have ever had the privilege to teach PRI. I flew in early this time and was able to finally scratch my bucket list line item of going up the Space Needle! I visited the Pikes Place Market, took in an Underground Walking tour and learned all about how the Pioneers developed the city of Seattle. I ate my fair share of seafood and fueled up for the weekend ahead.

10 years ago, I assisted James Anderson in teaching the very first PRI course in Seattle. PRI has grown so much in the last 10 years, but nothing like the firestorm that hit this area. Seattle has so many amazing clinicians that have really grabbed hold of the science and ran with it.

I had the help of my PRI friend Zac Hawthorne. Zac did a great job helping during lab, sharing his insights with our class and answering questions.

This weekend I taught Pelvis Restoration at Pro Sports in Redmond, Washington. The staff Amanda, Cory, Siera, and Nathan made me feel so welcome, it hardly felt like I was working.

Jen Poulin teaching Pelvis Restoration in Seattle, WA

Pelvis Restoration is a great first course as it allows for a nice blend between Myokinematics of the Hip and Pelvis and concepts introduced in the Postural Respiration course. My attendees ranged from 8 “Newbies” to experienced PRI clinicians. This was a nice mix for learning and integrating effective evaluation tools and treatment interventions. I hit home the concepts of Respiration and Gait as it relates to the inlet and outlet and how that presents in patients suffering from diagnosis of Iliosacral pain, pelvic floor conditions, lower back pain and pubalgia.

My own recent course attendance at I & I, the Non-manual technique workshop and PRI for Pilates really helped me teach Pelvis concepts this weekend. I did my best to keep to the Pelvis concepts but relevant to the science taught in other courses. The integration of outlet and mediastinum inhibition using the objective tests such as how a PADT and posterior medisatinal outlet expansion tests, bridge the gap between the pelvis and thorax.

Special thanks to Taylor, Anna, Lisa, Jake, Elena and Steve for helping with lab demonstrations this weekend. I will now take a much needed rest and look forward to being back on the road in September in the Big Apple!

Until then PRINation… #trustthebreathe

Posted May 15, 2019 at 5:05PM
Categories: Courses Clinicians Science

Who knew that following Ron’s advice many years ago to find a dentist who appreciates the influences of airway, neutral TMJ position and occlusion would take me to Vilnius, Lithuania?  I have had the privilege of working with a multidisciplinary team of dentists, Dara Chira DMD orthodontist, Jeff McClendon DMD restorative dentist, and Michael Gunson DDS, MD orthognathic surgeon for the treatment of complex TMD, Airway and Occlusal patients.  We have been invited to speak at various dental conferences on our multidisciplinary approach to care (Lips, Teeth, and Tongue to Toes).  Most recently we spoke at the Baltic Sea Community on Orthognathic Surgery and Orthodontics Spring course on “The Gravity of Temporomandibular Disorders Treatment “in Vilnius, Lithuania. 

The conference opened with dental radiologist Dania Tamimi BDS, DMSc presenting on radiographic evaluation of the TMJ.  I just about fell out of my seat when she showed a left cranial side bend and how it affects the TMJ, mandibular position and occlusion!! This made my discussion of the RTMCC so much easier for the participants to understand. There were lectures by orthodontists, and orthognathic surgeons as well.  Dr. Mariano Rocabado DPT presented arthrokinematics of the craniovertebral and craniomandibular areas with the influences of manual therapy on the cervical spine and its impact on neutral TMJ.  All the lectures and especially Dania and Dr. Rocabado's lectures were a perfect set up for our team to close the meeting with how we work together to achieve balance for our patients on so many levels.  My part was very well received as I was able to develop the PRI concepts from an Advanced Integration approach including LAIC, RBC, RTMCC, muscle chains, forward head posture, asymmetrical patterns and the importance of the diaphragm and attaining proper breathing mechanics and ZOA with its influences on temporal and mandibular position and function.  It was great fun demonstrating a balloon technique to 230 participants from 30 different countries!!! I am very excited about the feedback we got after and how open minded the group of dentists were to the idea of occlusion being more than just about the teeth!!! They really do like looking at teeth though!!!!

We were able to stay a few extra days and tour Lithuania and Latvia which included a tour of a 14th century castle on Trakai Island, Riga, Hill of Crosses and The Rondale Palace!! The trip was absolutely extraordinary!!!

I am so grateful for all the continued education and support that Ron, Jen, Jason, RJ and many others have had over the years in helping me understand the science of PRI, the application of PRI for better patient outcomes and for helping me with spreading the word to other professionals on how important it is for patients to work with a PRI minded clinician.

This past week, at our Annual Interdisciplinary Integration Symposium, we presented the PRI Director’s Dedication Award to three very deserving individuals who have had a tremendous impact on our Institute over the years; Donna Parise Byrne, Dan Houglum, and Josh Olinick. The PRI Director’s Dedication Award was established by the Board of Directors (Ron Hruska, Janie Ebmeier, Jennifer Platt and Bobbie Rappl) in 2012 to recognize individuals’ ongoing dedication to their advancement in PRI.

Past PRI Director’s Dedication Award recipients include: Susan Henning and Joe Belding (December 2012); Kyndall Boyle and James Anderson (April 2014); Michael Cantrell (December 2014); Jason Masek (April 2015); Michal Niedzielski (December 2015); Jennifer Poulin and Lori Thomsen (April 2017); and Kentaro Ishii and Sayuri Abe-Hiraishi (December 2017). An award recognition plaque is displayed at the Postural Restoration Institute® in Lincoln, Nebraska, recognizing each of the PRI Directors Dedication Award recipients.

Donna Parise Byrne attended her first PRI course in 2009, and has taken 28 PRI courses since that time. She was a member of the 2012 Postural Restoration Certified™ (PRC) class. Donna's background and love for Pilates led to discussions with Ron Hruska about PRI's integration with Pilates very early on in her PRI journey. This later led to her involvement with the PRI Affiliate Course, PRI Integration for Pilates, which was offered for the first time in 2017. Those who have attended this course, have loved it, and we look forward to watching it grow in attendance in the coming years. Donna owns Pilates Central in Wilmette, Illinois, where she has hosted several PRI courses over the years.

Dan Houglum attended his first PRI course in 2004, and over the past 16 years he has attended 45 PRI courses. He was also a member of the 2012 Postural Restoration Certified™ (PRC) class. Dan spent much of his early career working in corporate PT/rehab settings, and in 2015 he opened Houglum Physical Therapy so that he could offer one-on-one hour long patient care at two locations: Pilates Central (with PRC colleague Donna Parise Byrne) in Wilmette, Illinois, and The Trainer's Club in Deerfield, Illinois. Dan joined the PRI Faculty in 2016, and teaches Myokinematic Restoration. His students love him, and his background in athletic training, corporate PT, and now private practice offers a great blend of experience to all of those attending. He has put together a wonderful white paper to help colleagues and students further titled, Hruska Abduction and Adduction Lift Tests as Related to the Gait Cycle.

Josh Olinick attended his first PRI course in 2006 as a PT student, after being introduced to PRI by Kyndy Boyle (a past PRI Directors Dedication Award Recipient) who was on faculty at Elon University. Josh and his wife Katie own STEPS for Recovery in Chapel Hill, North Carolina, a clinic which offers physical therapy, occupational therapy and speech therapy. Over the past 14 years, Josh has taken 31 PRI courses. He was a member of the 2011 Postural Restoration Certified™ (PRC) class. In 2010, Josh co-authored "The Value of Blowing up a Balloon" with Kyndy Boyle and Cynthia Lewis, which was published in the North American Journal of Sports Physical Therapy. Josh's background in engineering makes his brain fit for PRI, and he is always askign great questions, he frequently submits ideas and white papers (see all of his papers on his bio here) to help others learn and understand PRI better, and he always has his patient's and other PRI colleague's back. In his spare time, he has hand-crafted around a dozen PRI logos in all kinds of woods, which are proudly displayed in clinics across the country.

Congratulations to all three of these wonderful individuals. We are so honored and proud to know you and have you associated with our Institute! CLICK HERE to view all of the photos from the award presentations.

Just wrapped up a thoroughly enjoyable weekend at the beautiful Minot State University in Minot, ND teaching Myokinematic Restoration. Thank you to Minot State faculty Dr. Heather “Rockstar” Golly and the Beth Marschner “twins” for their help in coordinating this course at their gorgeous third floor facility with a view of the campus. The Minot State team made me feel like family from start to finish. This class included an interdisciplinary group of movement scientists including Maci Severson, ATC, Holly Thompson, PT, Kevin Melby ATC, PTA, Dawn Mattern, MD among others in a largely new to PRI crowd. Many thanks to newly minted PT, PRC Bridget Anderson, who did a great job as lab assistant throughout the course.

Course participants engaged in discussions about PRI theoretical principles, scientifically based rationale for testing and treating the normal asymmetry seen and learned special tests to assess acetabulum and femur relationships. Course participants like Kevin Melby, Micki LaDage, Jodi Swedlund, Samantha Brizee among others volunteered to participate in lab activities to practice PRI special tests and how to use PRI techniques to develop a treatment plan with progression. Thank you to all who helped during lab time by allowing course participants to see examples of normal polyarticular chain patterns of muscle and inhibition techniques that affect them!

Myokinematic Restoration - Minot, ND

A lively, thoughtful and robust group, it helped me really enjoy my time in the “sister state” of North Dakota this weekend. Thank you each for adding to PRI nation and for jumping into the science of PRI with candor and zest!

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

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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