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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 2015

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Posted November 19, 2015 at 11:40AM
Categories: Courses

A big thank you to Ken Crenshaw of the Diamondbacks and the amazing minor league and major league staff for being such great hosts once again at the beautiful Salt River Fields. Ken, you and Ryan really made me feel special when you showed up in your Larry Legend socks and then presented me with the Celtics shooting shirt. You didn't have to do that, (but I'm glad you did). Hand on the heart for the '86 C's. I always feel like a first class guest when you bring us in and we at PRI are honored to be a part of the performance equation in your organization.

Grateful to have Skip George and Kentaro Ishii in attendance as Skip finalizes his preparations to take the lead as an instructor for this course in 2016 and as Kentaro translates the Postural Respiration manual into Japanese for further expansion of PRI into Japan. You two are first class professionals, capable peers and will be fantastic instructors for this institute. It was a pleasure to have you both there.

As a class, we explored the space across the back of the thoracic cavity and discussed the autonomic nervous system response as related to rib cage position and airflow. We talked about moving the ribs into a full state of internal rotation with the lower ribs moving down, moving in and retracting back into a state called Zone of Apposition. 

We talked about the spinal, pelvic, rib cage, airflow and abdominal requirements for good diaphragmatic breathing and also the common compensations seen when these requirements are not met. A lot of time was spent visualizing the tri-planar motion of the rib cage "egg" as related to the abdominal/pelvic "egg" and vise-versa. This allowed us to see the diaphragm as a prime mover for alternating reciprocal gait and tri-planar human performance. What a great weekend with a room full of great professionals. 


Posted November 18, 2015 at 4:23PM
Categories: Courses

I just returned from our largest state, where I thoroughly enjoyed my time with a group of energetic learners.  Joy, Katie and Tracey at The Physical Therapy Place were tremendous hosts on all fronts!  This class had a great discussion about integration of femurs and a thorax by way of establishing frontal plane control of the inlet and outlet of the pelvis for our clients in various settings.  Control the pillars, inhibition tools plus integration atop said inhibition were a couple of the topics we enjoyed discussing as part of this course.  There were so many people who I enjoyed the process with this weekend!  Thank you Alaska folks for proving to be a very inviting group of learners for this instructor from the “outside!”  

Posted November 18, 2015 at 10:28AM
Categories: Courses

Betsy Baker-Bold, Zach Hawthorne, Amie Holbrook, Kari Koos, Melissa Parsons, Janine Peacock, Erin Rajca, Deb Scheibe, Jamie Ablutz, Mark Bouma, Erin Coomer,  Trish Gallant are the best hosts a speaker could have. I truely enjoyed teaching at Olympic Physical Therapy. This organization has been a leader in promoting PRI over the last few years and taking a course at their sites is a wonderful experience in itself.  It was a perfect environment to present Cevical Revolution. The supportive experience will be a memorable one for me becasue of the multi-disciplinary involvement and in depth inquisitive interaction. I also love when course attendees dress in violet.

Elizabeth Caughey, Susan Grote, Andra DeVoght, Kim Eckhardt

Posted November 13, 2015 at 10:48AM
Categories: Courses

If you haven't read it yet there is a new blog up at the Hruska Clinic website about how PRI activities create new movement patterns, and what may be an issue if it doesn't stick.  Also the word mnemonic is used for all you spelling bee champions. Click here to check it out!

Posted November 13, 2015 at 9:16AM
Categories: Clinicians

Many patients with an active R TMCC pattern will need disclusion of the teeth to inhibit the TMCC.  In my practice, our go-to resource for that inhibition occurs via a lower mandibular bite splint. Click on this link to see part 1 (of a 3 part series) http://caugheydds.com/clear-thin-strong-splints/ of a step-by-step file on how we build our splints clear, thin and strong.

Elizabeth Caughey DDS

Posted November 12, 2015 at 12:59PM
Categories: Clinicians

Kristen Neisler, PT, ATC and the staff at Novacare were great hosts for a great weekend in Chicago. Sue Walsh, DN, Med, ATC, EMT, PRT from DePaul University joined me in presenting PRI’s flagship course, the one and only Postural Respiration. Sue’s experience incorporating PRI into athletic performance and sports medicine made her a valuable resource to the course attendees working in similar environments.
As a group, we worked to keep our focus on two or three key themes throughout the weekend. First, it was made clear that balanced rib movement in all three planes is the key to unlocking the power of the respiration system. Second, we discussed the role the respiratory system played in unlocking the obviously powerful and always relevant nervous system. And then we discussed the relationship between diaphragm posture and core lumbar spine alignment and the value of keeping the diaphragm properly positioned as the rib cage above the diaphragm counter-rotated in the other direction for rotational performance.
Thank you Josh Hostetler, HKC, BS for coming all the way from Cincinnati to help “keep it real”. Your description of left Zone of Apposition and left posterior mediastinal expansion while attempting right trunk rotation was about as straight forward and good as it gets. “Just dive down and in on the left below the diaphragm (with good breathing) as you bring the cage around to the right above the diaphragm”. Love the simplicity. And thank you Avis Leung, PT for helping us all see human scoliosis when we looked closely at the Left AIC/Right BC pattern. You were a great addition to a very interesting and fun group of professionals. It has been fun to watch the growing enthusiasm for PRI in and around Chicago over the last 3-5 years. 


 

Posted November 12, 2015 at 8:46AM
Categories: Courses

So off I went again for one of my final stops on my 2015 teaching tour for PRI.  This weekend I found myself in the suburbs of Philadelphia. Thank you Brad and Mike for being gracious hosts at Premier Orthopaedics.  Once again, this class was full of new clinicians taking their first PRI course. I was joined by my friend Connor Ryan who was a great help keeping me on task.  One Myokinematic Restoration concept that we crushed was #holecontrol.  We colored the Obturator green, used our hands to gain an appreciation for its attachment sites and its importance of AF position and control as it relates to the Left AIC pattern.  Many Myokin trees were climbed and other rabbit holes were peered into all weekend long.  Overall, I am proud of my course attendees for opening their minds and practices to the science of PRI!  Good luck and welcome to the #PRINation.  

Posted November 10, 2015 at 8:45AM
Categories: Courses

This past weekend I rounded out an intense year of teaching across the country and around the world by heading to California Rehab and Sports Therapy   It was there that I taught Myokinematics to a group of PT's, ATC's and CSCS's who were essentially new to the world of PRI.  Alan Vogel PT was our host and the class caught-on to the concepts very quickly!  The labs were intense with tons of questions throughout.  Thanks to so many of the attendees who made the weekend seem to fly by for me.  You all are the best and I am confident that our paths will cross again.  Claudia and Theresa thank you for dinner and your friendship.  December takes me to Lincoln, NE for Advanced Integration and testing for many potential  future PRC's.  Good luck to you all as you near the completion of this exhaustive process!!!

Posted November 6, 2015 at 12:39PM
Categories: Courses

I was encouraged to share my experiences as a Right Torsion patient who was repositioned by Ron Hruska at the Cervical Revolution seminar in NYC this past September.

I've been studying and using PRI on myself (and some clients) for the past three years. I had been able to get my pelvis neutral, but I was never able to get my upper body completely neutral, despite working on it consistently.

I initially approached Ron at the Impingement and Instability course in April 2015, in regards to the tinnitus I've had since the age of 14. He took a look at my teeth and noticed my right sided cross-bite. He told me I'd probably need dental/orthodontic work but that I should come to the Cervical Revolution course in September.

*I'd like to make it clear that Ron didn't say my tinnitus was caused by the cross-bite. My understanding was that it was possible that jaw/ear canal misalignment could contribute to tinnitus, but he wasn't guaranteeing it.

On the first day of the CR course, Ron told me that I'd be his model for a Right Torsion patient for the class to see, but that he'd use me on Sunday. I was very excited by this news. However, he did put me through some PRI tests on Saturday in front of the class, and I was clearly a PEC, and I couldn't rotate my head left, nor sidebend left. He then gave me a mouthguard to wear and told me to walk around the room. Upon my first few steps my right leg buckled and I got quite disoriented. My PRI tests didn't clear up completely, but I was disoriented for about an hour afterwards.

On Sunday Ron called me up again, had the entire class inspect my cross-bite, and then repositioned me using Standing Alternating Reciprocal Cranial Expansion while wearing the mouthguard.

All my PRI tests cleared up immediately. It was quite an experience.

Here are my other observations over the past month:

1. I am able to find my left ischial seat without having to consciously do so.
2. I was able to feel me right medial arch and big right toe while walking without having to consciously do so.
3. My chin straightened out (it had been pointing right). I now have left molar to molar contact. Previously I'd have to move my jaw to the left to get contact on the left.
4. I'm pretty sure my voice sounds different although no one else seems to have noticed. I was unaware of the effect that repositioning could have on voice when I noticed the difference, so I don't think I was engaging in any type of confirmation bias. I had one client tell me I looked different, though she couldn't figure out why.
5. My eyesight improved. I only wear reading glasses (1.5, I think). While still adjusting to being repositioned, I glanced at the manual and my notes and noticed that the print in both appeared larger, and I could actually read both without my glasses. Neither were perfectly clear, but I could read them (my notes on the green paper was actually more clear). I can now read the newspaper without my glasses as long as there is sufficient light. Natural sunlight is the best. Fluorescent light is the worst and I have to squint. I'm still wearing the reading glasses and have been encouraged to do so by an optometrist who is part of the PRI Google group. However, it's nice to know that I can actually read something if I don't have my glasses with me.
6. I tend to feel my left glute medius more easily in PRI exercises. I used to really struggle to feel it.

Unfortunately, my upper body does not always stay repositioned. My footwear that I use for one of my jobs is less than optimal, and I can feel it in my left mid-back when I'm going PEC again. On the other hand, I almost never feel myself going PEC when I am wearing my Asics Foundations. But it is easy enough to reposition with the mouthguard and the aforementioned technique when I get home.

So, those are my experiences. Hope you find them useful or interesting.

Neal Hallinan
CSCS

Posted November 5, 2015 at 3:41PM
Categories: Courses Patients
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