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Welcome to the Postural Restoration Community! This is where you will read the latest industry news, hear about upcoming events, find helpful deadline reminders, and view a plethora of additional resources regarding our techniques and curriculum. The great part about it is--not only can you can view the entries we post, you can also post about the things that matter to you. Did you find an interesting article about a technique you learned in one of your courses? Do you have a patient case study you want to share with other professionals? Simply click "Submit an Entry" and follow the easy steps towards getting your information published in the PRI Community!

Blog Posts in May 2017

Just enjoyed a beautiful weekend in Everett, WA working with a dynamic group of movement scientists at ATI Physical Therapy on the triplanar lumbo-sacro-pubo-femoral dynamics that encompasses Pelvis Restoration. Host PT's Jenifer Rhodes, Alexa Degel, Christopher Nicholson, Ashley Fulkerson along with excellent lab assist from PT, PRC Zach Hawthorne made for a tremendous learning environment, and we had a brief Betsy Baker Bold sighting!

This group took Pelvis Restoration in stride, engaging in discussions about theory, exercise technique prescription, integration and application of PRI to ADL's, strength training and high level dynamic stability of sports from bicycling to Cirque du Soleil endeavours. Thank you Ricky Morant, James Matson, Phillip Wehrman, Erin Bremond, Andrew Dingwall and Kaitlyn McNamara for your assistance with demonstration of various exercise techniques and principles of Pelvis Restoration. Excellent work Kate Johnson on the hands team, Julianne Clark for the posterior cranial vision showcase, Sam Briend and Lea Bell for your inquisitive and insightful addition to the class. Tina Mclean earned furthest travel honor and was a joyful contributor to discussion about clinical application during case studies as well!

Thank you to each from a very enthusiastic group who came to the Puget Sound area to enjoy Pelvis Restoration!

NYC – Concrete jungle, where dreams are made of and where heavy down pours and cancelled flights couldn’t keep us away.  It was a weekend full of feeling ribs and moving air in “warehouse chic” Finish Line Physical Therapy.

Thank you to Mike Conlon, Emmi Aguillard, Raechel Bugner, Andrew Fenack, Alicia Ferriere, Samantha Jacobsen, Alision McGinnis, Morgan Mowers, and Mike Riccardi for being gracious hosts and serving Ron his favorite pretzel snacks.   The class, a mix of PTs, PTAs, ATCs, and CSCSs, included a wide range of PRI exposure, with almost half taking a PRI course for the first time and a third who had three or more PRI courses under their belt. 

Right off the bat, Ron introduced the PRI paradigm-shifting tenet of two diaphragms, which carried us into in-depth discussions on: 1. importance of right apical and left posterior mediastinum expansion for good weight shifting and rotation; 2. how breathing habit shapes the thoracic spine and rib cage and how thoracic spine and rib cage movement and position affect breath quality; 3. how the all-mighty right diaphragm lateralizes us to the right, perpetuating the L AIC/R BC pattern of movement; and 4. The opposition muscles that attain, and maintain, a L zone of apposition.  Finally, we learned a new balloon-blowing strategy, herein dubbed “The Patrick”, in which you jiggle and wobble your rib cage to inflate the balloon.

Ron and I extend a special thank you to Bethany Delman and Nancy Brown, our lab models, and to Miguel Aragoncillo and Josh Lebow for your excellent insights in lab. 

Posted May 10, 2017 at 10:59AM

Enjoyed a great weekend traveling to Lincoln to teach the PRI Integration for the Home course at PRI Headquarters. Thank you Michelle Spicka, DPT from Husker Rehab for being such an advocate to bring the Home course back to Lincoln this year. Your persistence helped make it happen and the experience was a good one for everyone in attendance.

We spent a lot of time discussing the influences behind Lateralization in the Left AIC/Right BC Pattern. We also talked about movement variability in terms of being in a car that has the unimpaired ability to move forward, move back, change lanes right, change lanes left, turn right and turn left. We then discussed how these patterned lateralized influences can combine to cause the car attempting to make a right hand turn at an intersection to wander over into the right turning lane and not stay in the left lane during the turn as required by frontal plane law.

The group was really excited about the new ways to assess breathing and gait for a geriatric or chronic pain client. The Sidelying Horizontal Shoulder Abduction test, the Seated Gait Integration test, the Seated Gait Integration in the recliner test and the Seated Eversion with Hip Abduction tests were all well received. And all the restorative techniques for the bed, for the recliner, for the chair and for the standing position were refreshing options for populations that have needed their own exercises for a long time.

Thank you everyone for your passion and high interest in discovering functional solutions to not only geriatric and chronic pain cases, but to just about every other type of client who could benefit from this type of care. It was lots of fun.

Posted May 9, 2017 at 2:08PM

Sutter Physical Therapy sponsored their first PRI course this past weekend with 31 out of 40 students being new to PRI! Roseville is located near the base of the foothills of the Sierra Nevada of California not far from where gold was discovered in 1848. This location site was a real "nugget" when it comes to students eager to learn Postural Respiration. Suzie Maciel, PT is continuing education coordinator for this facility and this was her first course as well. She and her staff provided a great location and her support was so valuable. Thank you Suzie. In addition, she and Dan Houglum went to PT school together! Taylor Lewis, PRT and PRI faculty member Dan Houglum, who came out from Wilmette, IL, were lab assistants for the weekend. This course had "ton's" of lab with time to get into manual and non-manual techniques thanks to these lab assistants. Both were complemented on evaluation forms for their knowledge and skill with applying PRI principles.

The real show, other than the Diaphragm, or "Big D", were the students that attended. Taylor, Dan and I were more than impressed (astounded really) with the insightful restates and questions from this group of students who were always "spot on" with their questions in this course. Questions pertaining to what is the relationship with the Diaphragm and walking, how this work applies to COPD and Cystic Fibrosis, and some of the personal experiences of students learning techniques and how their bodies responded were impressive! One student, an ATC who works with a major league baseball team, took his spring vacation to attend Postural Respiration and is enthusiastic about implementing PRI with the players he works with. In addition, topics of system integration, sympathetic vs. parasympathetic as it applies to extended individuals and lateralization as it applies to the concept of neutrality and transition zones were explored during this weekend of PRI discovery!

Posted May 3, 2017 at 2:12PM

Dr. Skip George talks about how breathing compensation  (Superior T-4). He also talks about how to "unlock" the right side of the ribcage to allow airflow. He also talks about how activating a hamstring and ab wall can help along with a Gonstead adjustment.
"The brain is driving the whole show"

Learn more about Postural Respiration here.

Posted May 2, 2017 at 8:31AM

Dr. Skip George talks about how breathing dysfunction can affect ribcage, pelvis, cervical and thoracic spine movement. Scalene influence on rib rotation and how the ribs can influence the spine according to Fryette's Law are also discussed.

"Breathing is probably the most common movement dysfunction that human beings develop."

Learn more about the course Postural Respiration here.

Posted May 1, 2017 at 3:49PM

Last weekend at the PRC/PRT conference I had the opportunity to speak about how to integrate Orofacial Myofunctional Therapy with PRI to create craniofacial resonance. I explain a "cranial ZOA," "facial hole control," and an "up and back swallow" through a discussion of circles, aliens, a sticky orthotic, and some silly yet simple and effective techniques. Because of my passion for this topic, I converted the presentation into an article which can be accessed by all by clicking here:  http://heathercarrdpt.com/uncategorized/integrating-orofacial-myofunctional-therapy-and-pri-to-achieve-craniofacial-resonance/

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