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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!

As one attends conferences organized by various boards and professional groups of education, it becomes apparent that many of them, no matter which organization is of the primary focus, are alike. This is now our second time attending the AAPMD Airway Summit, and it again was distinguishable from any other conference in the past. I believe it is important to understand the truly collaborative effort of all the organizations involved as the level of discussion was already raised to a high level because of the many disciplines present for these four days.


We were proud to join a long list of sponsors which included; The American College for Advancement in Medicine, The American Academy of Physiological Medicine & Dentistry, The Academy of Applied Myofunctional Sciences, The American Academy for Oral Systemic Health, The Institute of Physical Art, The Foundation for Airway Health, The North American Association of Facial Orthotropics, The International Academy of Oral Medicine & Toxicology and the American Academy of Craniofacial Pain.
If you made it through the list above, it may be easier to understand the vastness of conversations had, professions in attendance, speaker topics presented and overall interest in integration. As I spent four days with Ron discussing and fielding various questions related to the relevance and presence of our Institute at this event, we immediately became aware of the potential and power that this science of Postural Restoration can have on a collaborative group of minds we were surrounded by. After having these conversations between Dentists, Oral Facial Myologists, Hygienists, Speech & Language Pathologists, Craniofacial Pain Physicians, and many other systemic health and physiology professionals, their desire for integrative and collaborative care was at an all-time high.


Many of them however were curious and sometimes cautious about where to begin, who to reach out to, and how those other professionals may benefit their patients overall plan of care and most importantly their treatment outcomes. In comes “The Important Collaborative Role of PT and Airway Health” presented by Ron Hruska, Gregg Johnson and Brad Gilden. Which in and of itself was a milestone in the integrative effort by these PT’s and their ways of viewing holistic health and how they treat it. Not only is the role of the Physical Therapist becoming more apparent but the roles of ALL individual professionals involved are becoming more appreciated. We were fortunate to have the presence of PRC, Steve Cuddy who has been practicing PRI and integrating with other disciplines in the Austin area for many years. Steve, it was truly an absolute gift to have you there as a representative of our credentialed providers across the country and abroad as these other professions look to you and others like you, who have become a PRI provider. The professionals mentioned above will be reaching out to all of you in the days, months and years to come, as a resource for integration of the science of PRI within their approaches of treating Airway Dysfunction and overall health!

“Attending the Collaboration Cures Airway Conference was an eye-opening, yet reassuring experience.  Eye-opening in the sense that the collection of airway-related issues is more complex and prevalent than, I believe, anyone truly understands.  Reassuring because I’m more confident than ever that we as PRI practitioners are uniquely positioned to play an integral role in the detection and treatment of obstructive airway conditions. Returning back to our homes, I’m sure that all attendees are more hopeful after listening to and meeting a wide range of passionate practitioners. This would include Ron who gave a few very insightful presentations.  I’m here to tell everyone in PRI Land that airway obstruction and the anterior neck are areas that we understand, thanks in very large part to the information that Ron has put together for us. My hope is that we make that clear to all allied airway health professions in our communities as we continue our own Postural Restoration journeys.”
Steve Cuddy

A huge thank you to Dr. Howard Hindin, and the AAPMD Organization for once again including us in this effort. Dr. Hindin was awarded the “Howard G. Hindin, Breath of Life Award” for his dedication and role in this collaborative movement and because of his efforts Airway Health has been brought to the forefront of Healthcare. Thank you again and we look forward to continuing our involvement with and alongside you all. Next year’s Collaboration Cures conference will be held in Seattle, on November 12-14th! See you there.

Posted October 23, 2019 at 11:44AM
Categories: Website Clinicians Science

On page 16 of the Cranial Resolution manual, there is a bullet I wrote that states ‘If we don’t balance rotational events through hemispheric oscillation, occipital alternation or lateralized rhythm, we remain resolved to compensate for our rewarded over-reaction and autonomic drive to repeat.’ 

Yet there were 14 PRCs, 1 PRT and the rest of the class who have taken a minimum of 7 PRI courses. Needless to say, they were “repeaters”. Their drive to continue to learn how to balance rotation with frontal oscillation is on a continuum. The host couple emulates this drive. Thank you Josh and Katie Olinick for hosting another PRI course in the manner you did. (The coffee was just a tad bit cold. Just kidding. I did not need the sugar. Your sweetness diffused into my body before my first sip.) Your hospitality and reception is truly reflective of “home”. Sangini Rane PT, PRC thank you for bringing a patient for all of us to evaluate and make suggestions reflecting autonomics and the course material. Everything about this course I love. The material has been strengthened over my last 30 years of clinical practice. And the messages are being delivered to a body of people who now can appreciate what my autonomic and somatic nervous systems were integrating 30 years ago, with a platform, called ‘PRI’. Any time I get a hug from Susan Henning PT, PRC I feel better than a cold cup of coffee. 

Thank you Forward Fitness (Mike) for hosting Pelvis Restoration this past weekend. Fourteen healthcare and fitness practitioners were attending their FIRST PRI course. Seasoned PRI course attendees were also present and helpful for our newbies. I am more convinced than ever getting a sound foundation and understanding of the three primary PRI courses helps us the most clinically to assist our patients, athletes and clients.

Appreciation of PRI objective tests and how they demonstrate PRI neutrality, need for clinical inhibition of muscle, frontal plane integration, and restoring the human gait pattern for a reciprocal and alternating pelvis were capitalized this past weekend. Most importantly, hitting home how the respiratory and pelvic diaphragm and synchronization of the left and the right side for integration of all the above to occur.

I truly appreciate all that attended and sacrificed a weekend away from family and friends to learn. It was a beautiful fall weekend, but we rocked it inside learning and developing our skills.

A shout out to Jon, Tim, and Nancy who brought treatment tables. Nancy Hammond my amazing lab assistant, your passion for PRI is inspiring. Again, thank you Mike for hosting your first PRI course. It was truly humbling to teach you all.

Lori Thomsen Pelvis Restoration St. Louis 2019 Postural Restoration Institute

Pelvis Restoration St. Louis 2019 Postural Restoration Institute

Posted October 17, 2019 at 1:15PM
Categories: Courses

Essex Junction, VT

Home of Essex Physical Therapy and it’s famous PRC Owner Estelle Leclair MSPT, PRC. Estelle’s clinic has the only modern PRISM pool in the country!  Impact Physical Medicine and Aquatic Center in St. Paul, MN has the original prototype and Essex has the latest state-of-the-art iteration of the famous PRISM Pool. Yes, the one developed by Ron Hruska. Estelle and her husband Jeff decided that it was time to truly move forward and be the first in the nation to put into action this amazing PRI-based pool! I got in it and it was awesome!

During the weekend while I was there I taught Impingement and Instability (I&I) to about 30 great clinicians and we had more fun than a clown on fire!! For those of you not familiar, I&I is a deep-dive advanced course that explores exactly WHY people impinge body parts and have pain. You may be thinking that I am making it sound as though they have a choice. They DO! We choose to impinge and if you ever make it to this class you will discover not only WHY but also what to do about it. You will learn that every orthopaedic site of Impingement is actually the end result of neurologic phenomena. Sound wack?!  Listen to what one of the attendants said from this past weekend in VT. “I cannot believe that we could so easily correct what seems to be hard and fast positioning! Your demonstrations sealed the deal for me! I will NEVER look at a rotator cuff impingement syndrome the same again...EVER!!” You can also find yourself seeing the light through a lovely purple filter as well by taking this course. Oh, and if you’ve taken it before, keep in mind: A lot may have changed since then so it may be time to revisit!  God bless you all!!

Posted October 15, 2019 at 11:26AM
Categories: Courses Clinicians Science

If you’ve taken Cervical Revolution please raise your hand. Ok, for those of you who did not raise your hand I’ve got to say...BOY YOU MISSED A GOOD ONE IN CHICAGO!!! 

Pilates Central hosted the class and all of you know Dan-the-man-Houglum MSPT, ATC/L, PRC and Donna Parise Byrne PT, OCS, PRC who are good PRI instructors in their own rite. Well, together with Liesel Brown PT they ran the show for this installment of Cervical Rev. in Chicago. Oh and listen, if you go out to eat with Dan, make sure there’s plenty of meat being served! 

We had 22 folks in the class. Among us was one dentist named Joe Fischerhahm DMD and he is fascinated with all things airway and added a nice layer of depth to my teaching. Joe is a super nice guy and obviously a great dentist. Additionally, we had a representative from the AAPMD named Lenore Morrissey MPT, DPT, OCA, FC. Lenore shared a number of thoughts about airway and the upcoming AAPMD conference to be held in Nashville. Some of you may know that Ron Hruska will be presenting there. Y’all, we had such a good time this weekend and I can’t even describe it (which is odd for me because many will say that I am usually not at a loss for words!🤣). What I CAN say is that this Cervical Revolution class is a true game changer.

Ever wonder HOW it is that a dentist can help you manage your back pain patients? Or your knee pain patients for that matter. Did you know that there are strain patterns in your skull that place pressure on your individual cranial bones? IT MATTERS! IT IS TREATABLE! Many times you don’t even NEED a dentist! Most times actually! Did you know that there’s a certain type of device that PRI recommends, that a dentist can make, that goes in your mouth and this device, called a PRI MOOO, (Mandibular Occipital Occlusal Orthotic) can cause your neck to finally have a normal curve? Game changer! MOOO? No, it has nothing to do with cows. This weekend’s class was truly inspiring from the input from the class, to the chocolates we had, I was inspired:

A class held at Pilates Central,
Had us all feeling quite a bit mental.
The class was inspiring,
And our brain cells were firing.
Realizing that necks can be dental.

Go figure and God bless. Wish Ron good luck at the upcoming AAPMD in Nashville. In the meantime, PLEASE register for Cervical Revolution as soon as you can. It is truly fantastic course!

Posted October 4, 2019 at 11:25AM
Categories: Courses Science

What a solid group of professionals attended the PRI Integration for Fitness and Movement course this past weekend in Fort Collins, CO.  


 
It was a sold out class! Jam-packed with fitness professionals, DCs, PTs, ATCs and Strength Coaches -  additionally all having a diverse background in PRI – some were VIP newbies attending their first course while others were certified in PRI or had 17-19 PRI courses under their belt. I’m grateful to bring these diverse backgrounds together and offer something for everyone! I was really impressed with how the VIP newbies were catching on to the science so quickly.

This weekend I focused on breaking down our “5 steps” to building core stability and tri-planar movement variability through a PRI lens. Day one focused on sagittal plane organization and obtaining to maintain a symmetrically balanced ZOA on each half of the body. Day two focused on building strength and function with good positioning and grounding, emphasizing unilateral work to keep the axial frame unlocked and integrated for contralateral patterns of rotation – gait, reaching, rotation, throwing, jumping, running. Day 2 emphasized a lot of frontal plane for “functional fitness”- I call the frontal plane, the most neglected plane in many traditional exercises programs. It’s important that people learn how to integrate, program, coach and cue this plane more intentionally to help clients break through plateaus and stay symmetrically balanced.


This course is lab intensive!! And we even got to take lab outside this weekend to enjoy some 80+ degree sunshine midday.  


 
Thank you to our PRC lab assistants - Karen Hoyt and Megan Bollinger. You guys were a big help, thanks for helping me out and guiding attendees to set up and cue positioning better!


Lastly, it was great to have many of the staff members from Rebound Sports and Physical Therapy there in attendance. Thank you all for your hospitality and hosting this weekend!
I think it’s great that a team comes together to learn, grow and collaborate – plus it supports learning and integrating PRI more effectively. Can’t wait to hear how you guys integrate the material over the next few months. I hope to get back to Fort Collins one day – such a cool outdoorsy town and I didn’t get to explore enough of it!
 
Till next year #PRInation! Look out for our 2020 schedule. The Affiliate Courses are a great place to start and refine your practice with PRI.

This past weekend, I visited one of my favorite places to teach PRI courses. The energy of  "the City that never sleeps" always seems to match the energy and enthusiasm for the science of PRI. This was my third trip back to New York to teach a class. On a personal note, it was great to bring my husband Chris and daughter Devon along again this weekend. We basically ate our way through the city and thankfully were able to walk most of what we indulged on off over the course of the 4 days! A friend and future PRT Kyle Langworthy’s brother Brandon Langworthy, DPT was attending his first PRI class. Brandon lives close to me in NC, so I look forward to seeing him again as well as the other attendees that were taking their first or second PRI course. I was also honored to be part of Kasey Aiken’s mentorship as she prepares to teach this course next year. I will let Kasey share her thoughts and experiences from the weekend. 

- Jen Poulin

From Kasey: "The class brought the energy from the city into the two full packed days of learning Myokinematic Restoration. With 80% of the class being their first PRI course ever, the questions and ability to learn and regurgitate the material was very impressive. We even had a DO that lives in Belgium fly over to learn the science of PRI. The combination of strength and conditioning specialists, PTs, and even PT students in the course is what keeps PRI applicable and beneficial to all different disciplines. They mastered exercises in lab to reposition the pelvis as well as strengthen the pelvis in the new neutral state. The attendees began to understand the correlation between the infamous Hruska ADDuction and ABDuction lift scores in regards to the gait cycle. Being able to tag team teaching with Jen Poulin was an absolute honor and appropriate considering she was the first faculty member to present Myokinematic Restoration to me several years back. A thanks to Brad Gillen, for assisting in lab, we couldn't have done it without your help and expertise to hit home for such a large group of attendees."

Posted September 30, 2019 at 11:13AM

“I have several cases I can apply this to already.”

“The course met the objectives to the full extent. Loved the course!”

“I am so glad I finally got to do a PRI course!”

“I learned a tremendous amount of information that my client base can benefit from.”

The physical therapy team of Charles George VA Medical Center hosted the most recent Postural Respiration course. This facility is considered among the top VA hospitals in the country, noted for its clinicians’ care and expertise. Surrounded by the splendor of the Blue Ridge Mountains, the 40 attendees, comprising PTs, OTs, PTAs, ATCs, DCs, and one student contemplated the asymmetrical diaphragm and its influence on pelvic-femoral and rib cage position and function. Movement starts with diaphragm, driving our lower half to one side while our upper half counter-rotates to the other. It’s a neurological concept, and it's what allows humans to be adept at things like throwing a ball, dancing, and doing flips and twists mid-air. Rib cages come in all shapes and sizes, formed not just by genetics but also by the activities a person engages in, positions they hold themselves in, and his or her unique responses to physical and emotional stress. However, regardless of rib morphology, every cage is under the influence of a powerful diaphragm that pulls it to the right, driving predictable patterns of air flow and movement. When not countered, and if skewed too far for too long, the result is pain, rib deformity, poor physiology, shortness of breath, anxiety, etc.

Lab time was generous to allow proficiency in PRI techniques, both manual and non-manual, and objective tests that indicate an individual’s neurological patterning and presence of pathology. Attendees experienced the power and swiftness of PRI’s neurological techniques -- inhibition and facilitation – to create changes to pathology-producing patterns. There isn’t a patient population out there that wouldn’t benefit from the PRI approach. Thank you to lab assistants Josh Owen, ATC, PRT, and Tracy-Lynn “I am SO ready to get my PRC” Schuster, DPT, whose guidance and clinical expertise provided clarity throughout the weekend. Great to see PRC clinics well-represented: Josh Olinick’s Steps for Recovery, Jen and Chris Poulin’s Sandhills Sports Performance, Advance PT, and Tracy Lynn’s Schuster Physical Therapy. Thank you to our avatars Debra Albrecht, PT; Nathan Crosby, DPT; Charles Fairbanks, PTA; Anthony Figuera, DPT; Linda Gutowski, DPT; Carl Heldman, DPT; Megan Humpal, PT; Caroline Lounsbury, ATC; Christiana Marron, DPT; and Pete West, DPT. Also thank you to our reader, Onyeamaechi Arinze, PT (my apologies again for botching your name all weekend. If we meet again, I’ll need to shorten it to “O”!). Finally, thank you so much to our hosts, who made the weekend go smoothly: Nathan, Anthony, Carol Harty, Deanna Mihok, Monica Sety, Keith Silcox, Pete, and Sharon Wisner. It was a pleasure to meet you all! Charles George VA will be hosting Pelvis Restoration in 2020. I highly recommend a visit to Asheville for this course. Be sure to treat yourself to a few days before or after the course to enjoy the gorgeous hikes and all that Asheville has to offer.

Posted September 27, 2019 at 11:59AM

It was another great PRI weekend in Santa Barbara, CA. Thank you Peter for hosting this past weekend. The breakfast burritos and fruit and your hospitality were amazing. The theme of the weekend was applying the science and concepts of PRI at the pelvis with patients with simplicity. Understanding these concepts and tests assist with making PRI non-manual techniques much easier with better patient outcomes. It was a great group of practitioners with a passion for PRI and learning. Many were attending their 3rd or 4th PRI course and we had three newbies in the group. Thank you for a wonderful weekend. I was humbled to be your "coach" for the weekend.

Posted September 20, 2019 at 12:33PM
Categories: Courses Techniques Science

Rosencutter Ultra Fitness, also known as Rosen-Cutting Edge Fitness, was the location of their second hosted PRI course this past weekend. Nick Rosencutter is always looking for a way to help his clients improve whether it is thru strength and conditioning, nutrition, the latest in soft tissue workand especially PRI as it applies to performance and rehabilitation. Rosencutter Ultra Fitness had six of their trainers in attendance including Nick and they have a team approach integrating PRI into client programming. Position prep is part of their programming to provide sense awareness for neutrality before, during and after workouts. We discussed this weekend that PRI loves extension for power and performance--we just don't want you to stay in extension. Equally, and perhaps more important, is the issue of rest and neutrality via flexing into neutral with adequate rib internal rotation.

The job of strength and conditioning professionals is to help clients and athletes become stronger, faster, more skilled at movement and especially durable whether you are a grandmother picking up grand kids or an olympic speed skater. Since this class was attended by so many strength and conditioning individuals, the issue of "saggitalization" was explored as well as the ability or inability to maintain or achieve competent transverse plane-ability in rotational sports. Since all sports require rotation for power and performance, the ability to orient a pelvis fully left and right then have adequate and full counter rotation of a ribcage is a must for what is known as separation of torso and pelvis.

Testing and non-manual techniques are always "ah ha" moments as they relate to position pelvis, femur, ribcage, scapulae and even neck. What is driving these positions in this course and the best answer when a student is called upon? The diaphragm of course! Manual techniques included the big three that we cover in Postural Respiration as well as a two person infra-clavicular pump that is often needed for a person that loves to stay in extension even after the best efforts via non-manual techniques to get them neutral. Also in attendance were physical therapists, a massage therapist and an ATC from Alaska who was travelling locally with the hockey team he works with. Shout out to Nick and all of his staff for their support and enthusiasm this weekend.

Posted September 19, 2019 at 11:05AM
Categories: Courses Techniques Science
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