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Blog Posts in October 2016

Impingement and Instability. Had a great weekend at Bon Secours in Richmond Virginia exploring the frontal plane implications of foot and ankle function, knee function, hip and pelvic function, thoracic and shoulder function and cervical function. Appreciating what the frontal plane ankle does for the frontal plane hip and vice versa was a big part of our morning on the first day. We learned about neurological reference centers and then applied the patterned differences between the right and left side to the gait cycle. During the second half of the first day, we discussed the knee joint and worked on how to correctly diagnose and treat both compensation and orientation issues between the femur and the tibia and vice versa. The frontal plane influence up to the diaphragm as a basis to the transverse plane performance above the sacral base was a big part of our morning on the second day. This gave us added insight to treating instabilities that could be experienced at the hips, ischial seat or impingement issues commonly seen across the hips. That left the afternoon of day two to talk about the thorax and scapula, with a special emphasis on the scapular-thoracic instabilities that can develop on top of the thoraco-scapular patterns commonly seen. Manual techniques to treat Sibson's fascia, the right intercostal wall and the left pec major were also shown and discussed in great detail. It was fun to practice techniques together and to provide properly referenced cuing for our patients during exercise to help us all become better at delivering PRI.

Posted October 31, 2016 at 4:18PM

California Dreamin' was a common response to Water Sports and Physical Therapy hosting another Postural Respiration at their facility integrated with Exos of La Jolla. This was another great mix of professions including PT's, ATC's and strength and conditioning professionals. There were four chiropractors who have attended other courses, an RN and a dentist from San Diego who specializes in TMD and facial pain. He wanted to understand the relationship of the diaphragm and orientation of the neck and head as it relates to the TMJ! This is such a great venue and we hope to keep coming back. Yours truly was grateful to be a local and drive 15 minutes to the location! Attendees came from as far as Virginia, Texas and Colorado! Over half of the class was new to PRI! Many thanks to Matt Uohara and Matt Varca for assisting. They make the weekend a rewarding experience for students and faculty!

Posted October 26, 2016 at 1:11PM

On October 15th  I gave a course in Fort Collins, CO at Rebound Sports and Physical Therapy. I especially enjoyed this particular course because of the questions regarding compensation, thanks Tyler Moos; because of the dentists in the room who added so much to the overview of occlusal relationships, thanks Dr. Kim Okamura and Dr. Kingdon Brady; because of the questions regarding treatment decision making and treatment intervention with patients who are in a cervical muscle pattern that relates to cranial position and mal-position, thanks Rob Lynde and Tim Richardt; and because of the host site hospitality, thanks Jon Hartwick and Craig Depperschmidt.

 I enjoy discussing how occlusion, spinal orientation and cranial osseous position can influence how the neck moves, or does not move. Spinal, cranial bone, tooth to tooth, and atlas on occiput as well as occiput on atlas coupling, can all be disconnected, neurologically and mechanically, if our cranial decompression/compression, inhalation/exhalation, or flexion/extension does not remain rhythmical.

The rhythmic flow of information, as complex as it can become, was enforced by the genuine interest of the entire class. This was a fun class to teach because this similar theme of rhythmicity was represented by both the class and the class material.

Posted October 26, 2016 at 1:02PM

This past weekend I had the pleasure of returning to EXOS (formerly Athletes Performance) in Phoenix, AZ. It was 5 years ago that I taught Myokin as a New Faulty member. What was even greater was seeing 40 new faces in the audience! Only my good friend Connor Ryan, PRC was known to me and he graciously came to help Dan and I lab assist. I flew in early enough to get a chance to hike up Camelback Mountain on Friday afternoon. It is always great to get outside and appreciate the beauty of this country. What a different terrain and air quality from where I awoke in NC that same morning! As much as I complain about leaving my time zone (sorry PRINation), I am always happy to come back to AZ. The desert is healing and the air is dry, but the enthusiasm and brain power in that room was anything but dry! Almost 90 % were taking their first PRI class with a few others on their way with learning of PRI science. The new format flowed well and the amount of content we put in this new manual was awesome. I kind of felt like a newbie myself as I navigated day 2 in presenting the integration of what we all learned in theory and testing on Day 1. Dan did a great job co-teaching the course with me and I was proud of him. The course had a diverse group of clinicians. The questions went from basic concepts to in depth gait analysis. I love to be challenged as a speaker. I reminded the class the only way to grow and truly learn is to be taken out of your comfort zone. I think we all were taken there in one way or another. I was reminded of something Ron talked about at our Faculty retreat this past summer. "Why do we teach? We teach to learn." A special shout out to the staff of EXOS for being such gracious hosts: Graeme Lauriston, Jas Randhawa, Jean Trolano, and Jason Hettler all attended from the EXOS organization. I also want to recognize the students in our class: Byron Miller, Kelsey Kankelfitz, and CJ Frizzell. Remember PRINation: "All your brain knows is patterns.." Ron Hruska

Posted October 25, 2016 at 1:21PM
Categories: Courses

PRI Integration for the Home. Seattle Washington. Jill Moynahan and the team at Providence Homecare in Renton Washington were fantastic hosts for a great weekend with a super group of people in a very beautiful place. Thank you for your kind hospitality and the opportunity to enjoy such a fun weekend together. The class enjoyed going over the new and improved PRI Integration for the Home material, including the new ADL exercises and the standing resisted squat progressions. A couple of attendees who had taken the course prior to the new updates said it was totally worth attending again, simply because they were able to learn about and practice these new techniques. And if you haven't had the opportunity, Seattle Washington is a beautiful and super fun place to visit. My wife Karen was able to make the trip with me and we enjoyed going to great places like the Seattle Art Museum, the Pike Street Market, the Space Needle, Lake Washington and the Columbia Tower. The view of Puget Sound and the City of Seattle from the rotating restaurant at the top of the Space Needle really gave us an appreciation of the majestic beauty the great Northwest has to offer. Thank you Seattle for your ongoing interest in PRI and our opportunity to visit your beautiful city.

Posted October 24, 2016 at 2:55PM
Categories: Courses

How appropriate to teach Pelvis Restoration at Finish Line in New York City weeks before the New York City Marathon. Tri-planar pelvis control is vital not only for runners, but for any individual that sits, stands, or walks in life.  In that case, ALL humans.  We all need a stabile pelvis in order for our hips and trunk to rotate and our ankles and necks to wobble. 

Danny, Ashleigh, and Kim thanks for your first row enthusiasm.  Rondel, Stone, Otis, and Jason I appreciated your hunger and thoroughness to learn and understand PRI.  The first time PRI course attendees (Matt, Jake, Alan, Karin, Kara, Oleg, Lily, Jeremy, Matt, Jimmy, Carly, Ross, Iwalani, Dan, Elana, Erica, Jeff, Emmi and Jameela) my respect and admiration for going on thru this in-depth material with me. Those attendees for coming back for more PRI, your passion to learn and apply principles taught in this course you have my professional respect.  FINISH LINE P.T.—Caroline, Lily, Alison, Jason, Carly, Alicia, Andrew, Michael, Raechel, and Emmi, thank you for hosting all of us.  Your tireless commitment to PRI is awesome!  Lastly, a huge shout out to my awesome assistants Trevor and Greg, PRC’s from Resilient Performance Physical Therapy you have wicked PRI skills.  I loved teaching in New York and had a wonderful time exploring the area after the course.  Thank you!

Posted October 24, 2016 at 8:41AM

I spent a great weekend at the Fortius Sport and Health complex in beautiful Vancouver British Columbia. What an awesome host site. And what a super group of professionals attending, most of whom were attending their first ever live PRI course. Ryan, you were a great host and all the attendees were great, especially considering that we were holding the course on the weekend of Thanksgiving in Canada (and the Toronto Blue Jays were back in the playoffs!). Thanks for spending time with us and missing or rescheduling your Thanksgiving turkey dinners. As for the majestic beauty of Vancouver, this is God's Country. Wow! Reminded me of my youth growing up near beautiful Glacier National Park in NW Montana. And when I went on a walk around the lake across from the complex and saw a "Caution, Bears in the Area" sign, I felt right at home. Fortunately, I didn't run into any bears or other wild animals.

But it was beautiful. As for the Myokinematic Restoration course, this weekend was a nostalgic experience for me. One, because my PRI journey started with this course and it has been my pleasure to have taught it so many times over the years to so many new and energetic attendees, both live and through the home study. Two, because I realized I will not be teaching this course as much in the future because of my expanding affiliate course responsibilities and because we have a growing number of new faculty members who will have the responsibility of teaching our primary courses. I'm excited for our institute's growth and development, but I must say, a reflective weekend like this in such a beautiful place really made me miss those early years of PRI and all those great experiences. A big "thank you" to anyone who has ever shared a Myokin moment with me over the years. You are what makes it all worth it!

Posted October 17, 2016 at 11:34AM
Categories: Courses

When a patient has an active R TMCC pattern that needs occlusal management, a lower MOOO style bite splint is my go-to intervention. But not all malocclusions are created equal, and the question comes up frequently on how to manage a bite with various degrees of malposition and alternate occlusal schemes. I have attached a resource on how I manage missing teeth, transposed teeth, cross bites and open bites; and the thinking that goes into why I choose to deviate from the standard design process with various malocclusions.

Posted October 14, 2016 at 5:17PM

Summit Orthopedics has a palatial sports complex. They hosted Impingement and Instability and we dove into an explanation of the reasons why humans choose to impinge and hurt. Yes...choose! Neurological reference centers were the main topic of conversation and how understanding these "RC's" can help a practitioner eliminate symptoms in minutes. Additionally we learned about precisely why tennis elbow is so problematic and how to manage it with rotator cuff management. Don't miss this incredible class when you begin the journey into the second tier of PRI courses.

Posted October 13, 2016 at 10:09AM

It was a joy to once again travel to St Lukes. This time however it was different. The class was Cervical Revolution and the attendees were on hand to learn about the amazing "super computer" called the cervical spine and cranium. We went over, in detail how the mandible and the neck are related, how the neck is the controlling factor for cranial strains. This led us to the reasons why individuals have neck pain and headaches. Finally we got into integration with the dental profession, splint discussions and detailed management with dentists. Now we have a better idea WHEN to call the dentist! If you have had any thoughts about attending this amazing class I would encourage you to do it as soon as you can! Especially if you are a dentist!

Posted October 10, 2016 at 11:52AM
Categories: Courses
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