It’s been a fun year teaching the newest introductory course through PRI, ”Pelvis Restoration – An Integrated Approach to Treatment of Pubo-Sacral Pathomechanics”. I have loved the feedback and interaction with other professionals across the country. What has been the most rewarding for me has been getting individuals to “think outside the box” when it comes to the pelvic floor. For some, they “turn and run the other way” when they see the title and others come expecting what they have learned from other pelvic floor courses. I feel the course has exceeded expectations from these thought processes by the feedback we have received. If you treat back pain, hip pain, SI pain, breathing disorders, gait, etc., then I challenge you to consider that you also treat the pelvic floor. The pelvic floor does not do the same thing on the left side in the stance phase of gait as it does on the right side during swing phase. Not even to mention if you don’t have frontal plane control of an hemi-pelvis you will not get the pelvic floor in the proper position for alternating reciprocal function. Every patient needs to walk so every patient needs a pelvic floor. Have you ever wondered why athletes have pelvic floor symptoms when they have never had children or surgery? Poor synchronization of breathing, poor inhibition of the anterior inlet/posterior outlet, poor frontal plane control of an inlet and outlet of the hemi-pelvis and again poor reciprocal alternating function. This course integrates Myokinematics and Postural Respiration. You are missing a piece in the Left AIC and PEC chains without the pelvic floor component and it may be why your patient can only get 80% better with their current PRI program. I welcome any additional feedback from PRCs and PRI veterans who have attended this course. - Lori Thomsen, MPT, PRC
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