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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 2019

Austin! The Texas state capital. I traveled there to visit with the best little PT house in Texas! Star Physical Therapy. I was there to teach Impingement & Instability.  Jon Hupp PT, PRC is the owner of Star and he is a dang good clinician and a good man.  Many of you may know Jon but did you know that his daughter Skylar is an elite gymnast? She will likely get a nice scholarship as a result of her gymnastic skills. His son Sterling just started his senior year in high school football and has been doing some good playing so far! Jon’s wife’s name is Bear. Yes! Bear! I LOVE that! I met her and the minute I did I knew she was a nice lady and a kind person. She spends her time taking care of the kids and doing a ton of administrative work for Star. 

Speaking of a ton, this I&I class had a TON of participants!  Around 40. That’s a big class size for a secondary course but...well...Texas.  A dentist named Alice Lam dropped by the first morning to visit. I do some work with Dr. Lam in Houston and she is fascinated with PRI.  I&I is a complex course that explores WHY your patients have Impingement phenomena.  Did you know that they WANT to impinge? It’s neurological. That’s probably why so many veteran PRI clinicians were there. There were 5 PRC’s there: Jon Hupp, Steve Cuddy, James Guzman, Sarah Luin and Josh Elrod as well as PRT, Josh Ogden.  At the other end of the spectrum we had two PT students there. Both of them are my friends: Steven Blair and Phillip Wuellner. 

I&I explores calcaneal, patellar, hip and scapular Instability and the varied impingements that can and do occur as a result. Be prepared for multiple surprises when you take this class.  Some comments from this past weekend: “This changed how I look at the Hruska Adduction Lift Test!” “It changed how I consider the position of the heel as I address my scapular programs to decrease humeral glenoid mechanics.” Oh, and did I mention the ribcage? The deep-dive into detailed mechanics of the existing respiratory variations puts a massive neurological spin on ribcage-scapular function. Whew! I got a little crazy there for a second. Thanks Ron Hruska, for my mild derangement. I cannot WAIT to see all of you in this most fascinating course.

"Wow" was the word of the weekend at Cantrell Center for Physical Therapy, Sports Medicine and Wellness. This was one of the most enthusiastic groups this faculty member has observed with half of the attendees being new to PRI. In addition, The Cantrell Center had half of the total number of students in attendance which made this a real team effort for their facility and created a stronger culture of PRI for their facility. What I loved about this group was the balance of great questions and re-states from every one of the new students as well as the "veterans". There were two PRC's, including lab assistant Ken Smith, who stated what we all experience attending a PRI course-no matter how many courses we have had is that there is always more to absorb and learn!

Cantrell Center Exercise Physiologist "Gentle" Giant Jalen Lawrence asked some great questions on how to apply PRI to power lifting and being able to learn how to better "axial load" when lifting. This was one of the most important questions for his athletes. In addition, we discussed that PRI loves extension for performance. We just don't want to live there all the time and that flexing and internally rotating ribs is needed to down-regulate a system and help restore autonomic balance. HRV or heart rate variability was discussed in the context of Postural Respiration concepts. Autonomic function with parasympathetic inhibition upon inhalation vs. parasympathetic facilitation upon exhalation was discussed as a needed balance for HRV. Since breathing is such a common dysfunction, considering most of our patients present in a hyper-inflated, neurologically extended state, understanding diaphragm function and airflow management is a critical issue. This is not only an issue with people that come into our clinics with pain and dysfunction. It is a performance/recovery issue as well. Shout out to Mehmet, Marion and Michael from Florida who asked great questions and brought great energy. Thank you to all in attendance for making my weekend flow so well with all of you especially the "Cantrell Gang" who can collaborate and apply PRI in a supportive setting. Ken Smith, PTA, PRC was golden as our lab assistant and his energy helped move all of us along. Finally, thank you Tassie Cantrell for such a beautiful facility, great food and wonderful staff that attended and helped all weekend with set-up and clean-up duties.

There is so much to consider when one focuses on the interplay between our autonomic nervous system, our somatic nervous system and our central nervous system. And, there is so much to get excited about when the interplay of these systems can be modified, re-integrated, re-oriented and re-calibrated through oscillation of novel conscious and un-conscious sensory afferentation. Our behavior, i.e. psychology of the conscious, revolves and resolves around fluctuation of brain lateralization, hemispheric specialization, dominance (subjective experience) as it relates to our brain’s individual unique asymmetrical and emotional processing. (page 31 of Cranial Resolution). According to the authors of ‘The Intersubjective Perspective’ (thank you Michael Zhao), focus on inter-related subjective experience unveils forms and patterns that conscious experience repetitively and unconsciously assumes over time (page 101). Therefore, our subjective experience of resolving conscious experience and patterns of behavior and biology through novel integration of these three nervous systems could generate “access to the underlying structures and organizing principles and patterns that unconsciously govern psychological life”. I absolutely love discussing behavior as it relates to evidence based autonomic research. The attendees at this course in NYC gravitated towards behavior as it relates to the limitation of subjective frames of interrelated and integrated nervous systems and their respective developed references. Thank you Borbala Suranyi for being my avatar! Thank all of you in attendance who asked poignant and clinical questions. The award to the one that asked the most insightful and driving questions that pushed us into wonderful engaging response from the entire group, goes to Jeff Eckhouse. Finally, thank you Alicia Ferriere and Finish Line for hosting another PRI course in NYC. I definitely feel at home when I am there.  

Cranial Resolution, New York City, Postural Restoration Institute

Posted August 21, 2019 at 4:11PM
Categories: Clinicians Courses Science

As we prepare for the first ever PRI Integration for Pediatrics course this October in Chapel Hill, NC it is hard not to be excited! Anyone who works with children on a daily basis knows how rewarding it can be. However, when it comes to getting them to exhale into a balloon, or squeeze a ball between their knees it can become challenging very quickly. Lisa Mangino, PT, DPT, PCS, C/NDT, PRC has spent countless hours considering the many ways PRI can be incorporated into a Pediatric setting, and through the creation of this particular Affiliate course we can all learn her intervention stragies which she applies to a younger population of patients.

Check out the video below for a sneak peak of some of the ways Lisa incorporates PRI into her practice!

And for more information about this course as well as the dates and locations it is being held, check out the PRI Integration for Pediatrics course page!

Posted August 20, 2019 at 9:41AM

We are looking for a passionate highly motivated trainer and as well as a physical therapist looking to join an amazing team here at Premier Fitness Systems.  We have a state of the art 5,000 sqft studio located in North Scottsdale, AZ.  We have been in the game for 10 years and are always looking for new team members looking to grow their knowledge and become part of something great.  PFS has become one of the top golf fitness gym's in the world as well as expanded into working with athletes from the MLB, UFC, NFL and a number of other sports.  Currently we are looking for another full time trainer/coach as well as a physical therapist looking to work with athletes of all ages, ready to take their knowledge to the next level, and someone who is going to bring something new to the table for our staff.  PRI has become an important part of our methodology and are looking for new team members that embrace it's benefits for returning athletes and regular Joes to sport. Some of the certifications that we like to see: DNS, CSCS, FRC, PRI, TPI, Animal Flow, Ido Portal, FMS, and many others.  Please email Greg at trainpfs@gmail.com with your resume and we will get back to you if you're a good candidate and take things from there. We are looking to hire in the next month FYI!!!

Check us out at www.premierfitnesssystems.com

Also check out our instagram pages@pfsgolf, @brandon_pfs, @ando_pfs, @parkercondit_pfs, @pfsfitness, @reedhrynewich_pfs, @utlimate_lady_badass

Posted August 14, 2019 at 7:02PM

Had a beautiful weekend with Kasey Aikin, DPT, PRC in my home state of Nevada teaching Myokinematic Restoration to a really great group. A big thank you to our generous host at the University of Nevada Sports Medicine, Jay Henke, M.Ed, LAT, ATC. He made us feel right at home in every way and even provided me with a list of his favorite local places to eat, which is a treat for a foodie like me. The University of Nevada Reno is nestled in the mountains and foothills of northwest Nevada, which is something you really need to see if you haven't been. As an alumni of the University of Nevada, I have really come to appreciate the northwestern Nevada beauty of Reno, Carson City and Lake Tahoe. Returning to my home state helped me again appreciate all the great people who live there.

And it was a treat to be able to co-teach with the newest PRI faculty member in training, Kasey Aikin, DPT, PRC. She does a great job with the Myokinematic Restoration course material and is really able to connect with the class attendees. She is from the great state of Texas and she brings a hospitality all her own wherever she goes. It was an honor to get to team-teach this course with her and to get to both teach and learn from her this weekend. She reaffirmed what I already knew about our PRI Faculty, that we are all unique with our own unique gifts, attributes and passions that allow us to connect in special ways with a variety of course attendees. Kasey is definitely passionate and she made the course experience great for everyone in attendance.

PRI Faculty James Anderson and Kasey Akin co-teaching Myokinematic Restoration

This Myokinematic Restoration course material is really useful for all types of clinicians as well as sports medicine and strength and conditioning professionals for a variety of reasons. First, it outlines which muscles are needed for non-compensatory gait mechanics when in the Left AIC Pattern and what the specific deficits are on each side. Second, it explains and outlines the use of Ligamentous Muscle as a powerful resource for stabilizing hip joint or pelvis instabilities. And third, it provides 2 powerful resources, The Hruska Adduction Lift Test and the Hruska Abduction Lift Test, to monitor pelvic and hip gait performance in all 3 dimensions.

Lab practice during the Postural Restoration Institute Myokinematic Restoration course, Reno, NV
 
I was first drawn to the science of Postural Restoration via the material in this course. It challenged my thinking and gave me a structural framework for prescribing movement and outlining performance that I rely on heavily to this day. The course is a great introduction to PRI for people from all backgrounds and it remains one of my favorite to review, utilize and teach.

Posted August 1, 2019 at 2:07PM
Categories: Clinicians Courses Science

Those of you who have been around for a while now hopefully recognize the family nature surrounding our Institute. Our faculty are like family to us, our credentialed providers are a family and quite honestly all of you, #PRINation, are one big family.

Families support one another, in any way possible. It’s for that reason that we want to share with you the fight that one of our closest family member’s is currently battling. On June 3rd, faculty member Jesse Ham’s daughter, Jenna, was diagnosed with Acute Lymphoid Leukemia (ALL). She has spent much of the past two months at Sanford Children’s Hospital in Sioux Falls (5 hours from home). Jenna is a fighter and her faith is strong, as is the case for her entire family.

Please keep Jesse, Jenna and the entire Ham family in your thoughts and prayers. If you are interested in following Jenna’s story and her courageous fight with ALL, a Caringbridge page has been set up. In addition, a GoFundMe account has also been organized to help their family get through this battle which has presented several hurdles financially, if you feel the desire to help further.

Thank you #PRINation for being a part of our Institute’s family!

Posted July 25, 2019 at 11:37AM

This image popped up on my "Facebook Memories" this morning, and it was perfect timing because I was planning to do a post this week with some tips for preparing your application for PRC or PRT credentialing. Eight years ago, I was practicing full time as a PT at the Hruska Clinic. I began taking courses when I was still in PT school, had an awesome clinical instructor Lori Thomsen for one of my final clinical rotations, and landed my dream job after graduation at the Hruska Clinic. I was surrounded by the best mentors ever, yet I must admit that I was a little scared at the thought of completing the PRC application and testing. However, having been on both sides (a scared and nervous applicant 8 years ago, and now the Director of Education and Credentialing running the show), I want to take a moment to share some tips and more information to ease your anxiety about the process.

Top 3 tips for preparing your PRC or PRT application:


1. Set aside larger chunks of time to work on your application.
When I first started my application, I was working on it for a couple hours at a time in the evening, or when I had a patient cancellation during the day. But, I found that by the time I would get my stuff out (all of my course binders, my case study patient charts, stacks of research articles, etc), and I mentally prepared myself to get started, I didn't have much time to get actual work done on my application. Therefore, I found my groove when I set aside a full Saturday (which is what this picture is representing from 8 years ago). I set up a table to work, had all of my course manuals accessible and I got major work done! I did this a couple more days over the next couple months and finished the application. It isn't too late to start on your application for this year, if you are able to dedicate a couple weekends to the process.

2. The review committee isn't looking for perfection.

The application review is a peer-reviewed process (PRCs and PRTs). Each application is reviewed by two members of the review committee for which you are applying (either PRC or PRT), and their recommendations are provided for review by Ron and myself. Based on their feedback, we then determine if the applicant is prepared for testing, and the applicant then receives the reviewer's feedback. None of us are perfect in what we do, and thus the review committee is not looking for perfection. Rather, they want to see your 'thought process' and 'decision-making' with the PRI concepts from the four pre-requisite courses displayed on paper throughout your application. Therefore, I would recommend that even if you look back at a case study or client program that you put together and think "wow, I would have totally not selected that technique now that I know more...." (that is fine), you can still use that case study, and at the end of your case study discussion, reflect on what you would do different now (and why....knowing what you know now, that you didn't know then).

3. The application in itself is an educational experience.

I hear this often when people are here for PRC and PRT testing, and I felt the same way myself. I learned SO much when I was preparing my application. It forced me to review content from the courses and find answers to questions that I still had myself. I vividly remember that I didn't fully understand the Superior T4 Syndrome until this day 8 years ago, when I went back and studied my manual, watched the home study course again and reviewed the manual techniques. I had an 'ah-ha' moment in preparing my application that day. The application made me reflect on my decision making process, consider what I might do different now, identify favorite techniques (which is difficult when there are so many), and it allowed me to realize how much I did know (even though there was still a lot I didn't know). This last one is important. Preparing your application is not an easy task, and it takes a lot of time, but it should give you a little boost of confidence (you are studying for the exam while you prepare your application), and that is the hidden gem. Last but not least, the feedback from the reviewer's is so incredibly helpful!

If you are considering applying for PRC or PRT, and you have any questions, please do not hesitate to reach out to me! The PRC application deadline (for testing in December) is September 15th and the PRT application deadline (for testing in January) is October 15th. 

I also plan to share more information and answer questions throughout the week on social media, so if you are on Instagram or Facebook, follow PRI and ask away!

Lastly, in case anyone was wondering how that triathalon went the next day (8 years ago), it was an experience that I have chosen not to do again, but I must admit I was not fully prepared for what I signed up for (it was a last minute decision and challenge with some friends)...but we survived!

PRI Integration for Fitness and Movement found its way in the New England Region again last weekend in Boston, MA. The summer heat was hot, but our group was hotter! No for real, they were great troopers sweating through the weekend of jam packed labs! We had great space to utilize at Northeastern University to get some awesome lab time in. Thank you to the rockstar Huskies Sports Medicine and Sports Performance staff for hosting!! Their hospitality and commitment to excellence is evident and we are grateful for them hosting this course!

As a teacher you have to gather insight from multiple dimensions to evaluate the effectiveness of your course, looking into people’s eyes to make she they are following along in lecture,  having side conversations, and then watching how people participate in lab all are factors. This group rocked coaching each other in the labs!! The application seen in the labs was spot on and most fun to watch.  Our labs focus on training the abs and hamstrings to support posture and respiration and how to keep the asymmetrical human design balanced through the axial frame to best support and maintain the shape and function of the diaphragms, thoracic cage, and pelvis. We added some bonus lab time in and got 40 people to sled push for thoracic retraction and grounding and do lateral side stepping and retro stairs rhythmically in sync with one another to unlock the frontal plane.  It was a fun weekend!

 The PRI Integration for Fitness and Movement has a couple courses left for 2019. If you are interested, click here to register! We will be outside of Columbus, Ohio next month and Northern Colorado in September. Additionally, we are looking for host sites for next year! If you are interested, please contact PRI directly to let them know! 

Posted July 22, 2019 at 11:21AM

Hello PRI nation! This past weekend’s trip to Georgia has reminded me of some of the many ways this Institute called PRI is exceptional. As has always been the case, every organization that is foundational and exceptional is so largely because of its people.

Mentor, friend, PRI faculty team member, and mayor of Mayberry, Mike “Hops” Cantrell, helped me feel at home at Fox Valley Farm in Georgia in more ways than I have room here to describe. The attentive, kind and graceful people who attended the course at Mercer University enjoyed learning and treated this instructor well, with excellent dialogue and focus during didactics and labs. The gentleman who helped set up the course so that we could teach, Mr. Amos Mansfield, enjoyed doing his part to spread the science of PRI to others. This instructor thoroughly enjoyed teaching the science of Pelvis Restoration in the great state of Georgia, as did another friend, mentor and exceptionally bold, popular PRI faculty team member The Jen Poulin (TJP), who came in to teach day two when I was unexpectedly called away. Jen was nothing short of an ace closer last weekend! Thank you Jason Robey for your sense of humor and for that one second pause.

Thank you Jeremy Fradin, Michael Finley, Joni Robertson and several more for your effort and assistance with demonstrations and labs. Thank you to the whole class for your kindness and attentiveness as we navigated Pelvis Restoration theory, terminology, objective tests, facilitation and inhibition strategies to ultimately oppose polyarticular patterns that present initially. There were many reasons for my being there--each of you!

Pelvis Restoration Mercer University Macon Georgia Postural Restoration Institute

Pelvis Restoration Mercer University Macon Georgia Postural Restoration Institute Jesse Ham

Pelvis Restoration Mercer University Macon Georgia Postural Restoration Institute Jen Poulin

Posted July 19, 2019 at 8:34AM
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