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Blog Posts in March 2019

That’s another course, for another time.”

According to Kristi Jagels MS, PT, PRC this is a statement that I have made at many of the past courses she has attended. And I believe she is correct. 

Cupidity, or the intense desire for possessiveness, acquisitiveness, and avidness, usually interferes with our respect for the process that clarifies our appreciation for incessant curiosity and pedagogic gratification. We all need to struggle with novel approaches, new relationships and unfamiliar applications. There were thirteen PRI certified and trained clinicians in this course, as well as many more attendees, who have remained altruistic and content with familiar application of PRI principles and were, hopefully, ready for “this course, at this time”. 

Ron Hruska discussing Airway obstruction at the Cranial Resolution course at the Postural Restoration Institute

More importantly, they hopefully appreciate that this PRI course, which is about human dysfunctional oscillatory patterned behavior, would not have resolved their discipline outcome based discontentment, without trusting a thalamic process that was outlined by PRI objectives offered by previous courses that were required for this course attendance. The tag line following the title of each of those required courses, as well as this course, is “An Integrated Approach to the Treatment of…”  An appreciable understanding of human patterns is helpful in building a cognitive framework for the interplay between Autonomic and Central Nervous system integration in “treatment”. 

Ron Hruska Discussing the "Long Seated" Position during Cranial Resolution at PRI

I believe the framework offered by the PRI Primary and Cervical Revolution courses guides this interplay. Clinical “integration” of the Autonomic Nervous System and the Central Nervous System, using PRI based concepts, can have a significant influence on clinical interdisciplinary design and outcomes. After reading the comments from these course attendees, I believe they have gained a better understanding of the magnanimity associated with the words “that’s another course, for another time”.

Cranial Resolution IS that course, and worth your time!

To see more photos from this course CLICK HERE

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 11:34AM

We are beyond excited to have Mandy Harvey as our Featured guest for this years Interdisciplinary Integration Symposium!

Mandy will be presenting, "Sensing the Rhythm: Exploring Music without Hearing"

I encourage you to read more about Mandy and all the incredible endeavors shes a part of on her Website!

America's Got Talent Season 12 Finalist,

Featured Songs:

Posted March 21, 2019 at 11:27AM

We are excited to announce a couple changes to the application process for our PRC and PRT credentialing programs.

  • Rolling Admissions Process - We will now accept applications throughout the year, and applicants will receive feedback from the application review committee within two months. This will allow applicants who complete their application early the opportunity to have more time to prepare for testing
     
  • PRI Credentialing Scholarship - This scholarship is available to candidates who may otherwise be dissuaded from applying for PRC or PRT credentialing solely by their current financial circumstances. Scholarship essays are due on June 15th each year, and the essays will be reviewed by the PRI Directors. The scholarship recipient will be notified by July 15th. If the recipient does not accept the scholarship and complete the credentialing application and testing that year, the scholarship will be awarded to an alternate. Depending on the number of applications each year, the Board of Directors may choose to select more than one scholarship recipient.

These changes are effectively immediately. If you have any questions with these changes, or any questions with the PRC or PRT credentialing process in general, please contact me at platt.jennifer@posturalrestoration.com or 888-691-4583.

"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 12:39PM
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 11:59AM
Categories: Courses Science

I had a great time this weekend teaching Myokinematics of the Hip and Pelvis at Body Dynamics in Falls Church, VA. I grew up not far from Falls Church and my college roommate lives in Rockville MD. I got to spend some time with an old friend and teach a course that I consider an old friend. Myokin is a great course to start a PRI journey and that is exactly what 90% of my course attendees were experiencing. We took an OBER and Thomas Test and turned them from orthopedic soft tissue tests to the neuro respiratory positional tests as they provide clinical evidence of an asymmetrical pattern.

PRI Myokinematic Restoration Course Demonstration

There was as much fog in the room at 4:00pm on Saturday as there was on my drive up to VA on Friday night! But… by Sunday at 5pm the sun was out and the connections in their new PRI minds were clear as the weather outside!

PRI is an integrated science and Myokin of the hip and pelvis is just one piece of an integrated system. But what would a Diaphragm be without a solid pelvic base and a good appreciation of AFIR in stance and AFER in swing!

I was honored to have Dr. Felix Liao, DDS author of “6 foot Tiger in a 3-foot cage”! Dr. Liao considers himself an airway mouth dentist. He was in attendance to understand the perspective of the PRI therapist, so he can better understand the neuro mechanics of PRI and how he can better help patients integrate!

Jennifer Gamboa, Lisa Clarkson and the entire staff of Body Dynamics welcomed all of us to their clinic. These professionals all work well together and it was so fun to watch how they picked right up on PRI methods. Lisa had been exposed to PRI out in Seattle as a student. She did a great job hosting us this weekend!

This class kept me on my toes and asked awesome questions to better understands how to integrate PRI into the current practice. I always enjoy teach Myokinematics of the Hip and Pelvis. It helps further stabilize my own clinical practice and reinforce the importance of sound PRI fundamentals in my treatment plan.

Posted March 13, 2019 at 12:01PM
Categories: Courses Techniques Science

We are excited to announce that next month's Interdisciplinary Integration Symposium, “Airway Oscillation: An Interdisciplinary Approach to the Production of Voice, Airflow, and Resonance Frequency Breathing” has been approved for 15 IAOM CE hours. If you or anyone you know is a certified Orofacial Myologist, you will not want to miss this years Symposium! Please contact us at 402-467-4111 with any questions you may have, or visit our Website for more information!

Posted March 12, 2019 at 11:38AM
Categories: Courses

It was a wonderful weekend in Roseville, CA not only experiencing balmy weather of 58 degrees (back home it was below 0) but teaching my first Pelvis Restoration course in 2019 to these professionals. Close to half of the class was experiencing their first PRI course and this group asked awesome questions. Those attending the course for the second time also really appreciated the course updates with the Hruska Abduction Lift Test and respiration concepts related to the pelvic diaphragm. I truly feel that a deep understanding and appreciation for the three Primary Courses in PRI is key for clinic outcomes. Thank you Suzi and the staff at Sutter Physical Therapy for your hospitality and to Caleb Chiu for your amazing lab assistance.

Posted March 12, 2019 at 9:55AM
Categories: Courses

There is probably no one that has over 35 years of “breathing experience” as it relates to lower back dysfunction or chronic disease than Rosalba Courtney. I have referenced her, written about her, studied her work, and continue to read her material. She has always been a person I am mindful of when contemplating the role the ANS has on regulation and vagal tone. She was mindful of autonomic dysregulation long before the term “dysautonomia” or “persistent postural perceptual dizziness (PPPD)” became widely noted or understood. She always related neurophysiological disruption to the scientific evidenced-based perspectives of non-pharmacologic healing methods. This is what drew me to Rosalba. Her deep, deep respect for resonance and rhythmic respiration. It is such an honor to have her accept our invitation to come to Lincoln, Nebraska as our 2019 Interdisciplinary Integration Symposium keynote speaker. If there is one word that I correlate patterns and positions to, it is ‘oscillation’ largely because of individuals like Rosalba. Oscillatory activity occurs to help coordinate a system of “oscillating body systems.” After our personal conversation with her, I am sure this noted Australian will enlighten our sense of vibratory need.

To read more of Rosalba's work, I would invite you to visit her website. What's even more exciting is that Rosalba is no stranger to PRI, as she has attended all of the courses we have hosted in Australia in the past few years. I am very much looking forward to finally meeting her, welcoming her to Lincoln, and introducing her to more of the PRI family.

Rosalba's presentations at our upcoming sympoisum are titled:

Oscillations and Resonance Frequencies of the Breath and the Body- Part 1     
Our bodies live in ever changing conditions. For health and homeostasis to be maintained successfully we need to constantly adapt to constant change. Oscillations occurring within the functions of our various body systems help these systems to co-ordinate their functions so that they can work together to optimally react to change and maintain homeostasis. Breathing is an oscillating system that can influence the function and co-ordination of other oscillating body systems, particularly the autonomic nervous system, the cardiovascular system and the digestive system in ways that enhance or interfere with the function of those body systems. Every oscillating system has one or several resonance frequencies where unique capabilities emerge. Resonance frequencies of breathing can be used therapeutically to assist a range of health conditions including depression, anxiety, panic disorder, dysautonomia, asthma, fibromyalgia, chronic pain, functional gastro-intestinal and cardiovascular disorders.

Optimizing the Healing Effects of Breathing Rhythms, Frequencies and Oscillations- Part 2
The healing and homeostatic effect of breathing oscillations can be optimized by improving the functionality of breathing. People with dysfunctional breathing have difficulties harnessing the healing powers of resonance frequency breathing. We well explore how 1. psychophysiological, 2. biomechanical and 3. biochemical dimensions of breathing functionality affect the breaths ability to heal and restore homeostasis and learn some techniques for assessing patients for with tools that can measure these various dimensions of dysfunctional breathing. We will then explore ways of modifying the practice of resonance frequency breathing to assist functionality in these 3 key breathing dimensions.

The early registration deadline for the Interdisciplinary Integration Symposium is this Friday. CLICK HERE to register today!

Posted March 11, 2019 at 10:18AM
Categories: Courses
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