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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 2018

This past weekend I had the pleasure to present Postural Respiration to a diverse mix of new attendees and "veterans" of PRI at Pro Sport in Redmond, WA. I would rename this weekend "Superior T-4 Syndrome in Seattle" considering how many course attendees presented with this patho-mechanical respiratory compensation and asked so many questions about patho-mechanical rib kinematics as it relates to this subject! We had an opportunity to demonstrate in front of class at least four students that looked like they could possibly be patho-mechanical in terms of their respiration and body type.

One take away is you may suspect a positional issue but always test and retest. Two of the students demonstrated the definitive assessment of decreased left apical expansion after a Superior T-4 manual technique. Superior T-4 came up during discussion on Saturday and was a topic that came up often during the entire weekend on how to define, assess and then treat it both manually and non-manually. One of the students that had non-manual techniques provided experienced the left side of her body in a way that she expressed with an enthusiastic smile and a new place that she could feel and find in her body! In addition, she felt a bit "unstable" when she first started walking and liked it! Welcome to variability! She not only found neutral, but she experienced transitioning right to left side and back again, alternating and reciprocating, lateralizing and realizing what tri-planer position, gait and breathing is all about. What a lesson for all to see, experience and what it means to reduce the reliance on end-ranges driven by asymmetries, respiration and patterns driven by neurology!

The enthusiasm and new awareness of Superior T-4, especially for students new to PRI, was totally fun for all involved including this instructor! Thank you PRI dedicated veterans Erin Rajca and Michael Ball, both PT's and PRC's, for their help and knowledge.

This course was a joy for all with them in attendance providing energy, experience and caring. Thank you Cory and Amanda for hosting at PRO SPORT and all of your hard work! And shout out to all of the students in attendance for your most outstanding questions and persistence in wanting to understand PRI principles especially regarding Superior T-4.

Posted May 8, 2018 at 11:14AM
Categories: Courses

Saranac Lake, NY, was the site of the most recent Myokinematic Restoration class, and it was a very eventful class for a variety of reasons. One of them was the 4-6 inches that fell Sunday during the course. It was a very beautiful scene, until you realized it was April 29th.

More importantly, it was a course where we had the opportunity for as much, if not more, lab time compared to any course I have taught previously. We were fortunate to have two experienced and great lab assistants, Michelin Carroll, PT, ATC, and Sean Fitzgerald, PT, PRC. They have been in and around PRI for a long time, and having them help in lab was invaluable. My thanks to them!

We were able to delve into the differences between normal mechanics the L AIC pattern presents, as well as normal and pathological compensations that will arise. This led us into the polyarticular behavior the muscles of the pelvis and femur have on each leg as a result of the L AIC pattern. We were fortunate to have a lot of time to practice the positional assessments, as well as discuss what the positional tests indicate.

The value of the Hruska Abduction and Adduction Lift tests relative to the gait cycle and respiratory cycle was a significant topic of conversation and lab. We were fortunate to have two very good demonstrations with Matt Powers and Brendon Olsen. Matt gave us a good example of how to reposition someone who is in a L AIC pattern. And Brendon gave us a great example of how to get someone who is in a PEC pattern, and help them become inhibited enough to turn into a L AIC pattern.

My thanks to Shauna Thomas for helping us link the L AIC pattern to what she is seeing in her womens' health population; Megan Haught for her great questions and re-states; co-workers Bill Doherty and Linda Horizny for their enthusiasm in learning this new material; and Hilary O'Connor, who is a student physical therapist attending this course.

We all need a little more "Bruce Wayne" and a little less "Batman," and we need to make sure we have the proper "boy band" in our lives!

Posted May 2, 2018 at 2:49PM
Categories: Courses

If you ordered the Pelvis Restoration online home study course between November 1, 2017 and May 1, 2018, we would like to offer you 2 weeks complimentary access to this newer version. Please contact us at (402)-467-4111 or fill out our contact form to receive your complimentary access (you will not receive additional CEUs). You have until June 30 to start your access.

Jennifer Poulin is the instructor for the newest version of this course, which has over 13 hours of content. Over the past year, our faculty and staff worked together to update the structure and flow of this course. The core material has not changed however there is more detailed information on treatment algorithms including the relationship of the Hruska Abduction Lift Test.

Posted April 25, 2018 at 2:34PM
Categories: Courses

I returned this past weekend from a tremendous weekend of learning with an authentic group of learners in Colorado where Pelvis Restoration was on tap. I had the pleasure of being hosted once again by Jonathan Pope and his team at Train Rogue/Ethos Colorado Training Facility and I was reconnected with my friend Craig Deppershmidt, DPT, PRC as well as newly certified Karen Stillahn, PT, DPT, ATC, PRC who combined to provide a luxury PRC tag team during labs, much appreciated by all in the course. From LMT to OT to PT to DC to ATC to CSCS, this group of movement scientists brought it!

This course was packed with great discussions about LAIC and a bilateral AIC pattern that can lead us to using a PEC pattern to overstabilize a system that can lead to pain and/or pathology. We had thorough discussion of inlet and outlet function, urogenital diaphragm function related to position and relative order of operations for allowing anterior pelvic diaphragm function. We dove deep into how special tests correlate with one another to give a thorough, layered assessment of position, the pattern involved, compensation for said pattern, and pathology if present. From there, this group was keyed in on great clinical application of developing appropriate PRI facilitation programs to oppose the respective patterns identified, with inhibition components implemented when needed, with specificity attained with special tests. Pelvic and thoracic diaphragms were center stage.

We enjoyed a good discussion and lab series with case studies in the fold, with treatment appendix reference and application being the focus of discussion late. This group was engaged, focused, with great clinical questions and facilitation of discussion by Craig, Charles Fairbanks, Margaret Randolph, James Park and others. Thank you Kyler Crouse, Ellen Kindelsperger, Jonathan Pope, Sharon Petty, Nathan Olson and others for your time and assistance during lab demonstrations.

Thank you all for a weekend that flew by, so engaged with this lively, friendly group that I forgot to take any group pictures! Colorado intense! Thanks again to all.

Posted April 13, 2018 at 12:51PM
Categories: Courses

Philadelphia – “City of Champions” – provided good karma for the latest Postural Respiration course, hosted by Jon Herting, DPT, CSCS and Rob Rabena, MS, CSCS at Maplezone Sports Institute/The Training Room Physical Therapy. This was the first PRI course for half of the attendees. The class comprised a mix of PTs, PTAs, strength and conditioning specialists, coaches, massage therapists, and student PTs, with a range of experience and patient populations. Artem Imnadze, Nick Perugini, and Chris Stires, our students, confirmed that, still, there is virtually no discussion in the PT curriculum of the diaphragm’s functions. We addressed that short-coming through in-depth analysis of our lateralized diaphragm and its impact on human movement, physiology, and behavior. Ample time was devoted to testing and re-testing, following non-manual and manual techniques, to ascertain the each person’s degree of patterning and how challenged, or effective, they were in achieving tri-planar diaphragm position and activity. Participants learned that orthopedic dysfunction stems from our neurology and the patterned diaphragm. Therefore, breathing patterns and associated rib movement (or lack thereof) must be assessed and addressed to ensure recovery! Many mentioned they had “aha” moments throughout the course. Others had patients in mind that they planned to apply the material immediately. Thank you to Jon and Rob for hosting and to Jon and Frank Mallon, DPT, PRC, for your outstanding assistance with lab and clarifying concepts. Special thank you to Alfredo Aviles, NSCA-CPT, Ray Carr, DPT, Christopher Carroll, DPT, NCS, Justin DePermentier, DPT, ATC, Leor Giladi, DPT, CSCS, Tracey Emrey, MSPT, Michele Kersman, PTA, Nicole Ledbetter, LMT, Sheree McMullen, PTA, LMT, Jennifer Nieberlein, PT, ATC, Akil Piggott, DPT, Karen Vozzella, DPT, Michael Wehrhahn, DPT, CSCS, and Ryan Wolff, DPT for your insights, reading aloud to the group, modelling for lab, and setting up and taking down.

Posted April 12, 2018 at 3:31PM
Categories: Courses

We are excited to announce that Gabe Adams, and his father Ron will be joining us at our annual Interdisciplinary Integration Symposium on Thursday, April 19th from 5:45-7pm for a “Conversational Presentation.” Gabe Adams was born in Brazil with Hanhart Syndrome, a genetic disorder, leaving him with no arms or legs. Adopted by his Utah family, Gabe is an amazing example of rising to the challenge. Despite his challenges, Gabe is an extremely independent 19 year old young man, and lives an amazingly “normal” life. He even made the dance teams at both Davis and Desert Hills High Schools. He recently graduated high school and has begun his career as a motivational speaker. James Anderson introduced us to Gabe a few weeks ago, and we knew right away that we wanted to meet this incredible young man and his parents. With our upcoming Symposium topic, “Postural Restriction: An Interdisciplinary Approach to Alignment of Functional Patterns”, we will have several speakers discussing neurological and soft tissue tension. After seeing Gabe move with very little tension or resistance placed on his body, including dancing, climbing stairs, and being so incredibly independent with daily life activities, we knew this would be a great opportunity for all of us to learn more about Gabe and how he navigates through life with his trunk, head and neck. There is no doubt Gabe’s story will inspire you, and the opportunity to meet and learn from Gabe about his movement patterns and how he has gotten to where he is today is a once in a lifetime opportunity that will not only impact your professional practice, but also your personal life.

To learn more about Gabe, please visit www.limbitlessgabe.com. A limited number of seats are still available for our Interdisciplinary Integration Symposium on April 19-20th in Lincoln, NE. CLICK HERE to register today!

Posted April 2, 2018 at 10:31AM
Categories: Courses

Hello PRI family! I just returned from the great Northeast in Maine where I enjoyed teaching a Pelvis Restoration course with a diverse group of movement scientists from many professions.

Many thanks to the team at Coastal Orthopedics and Sports Medicine Physical Therapy for welcoming PRI into their beautiful clinic. Special thanks to Brian Bisson for leading the hosting effort and taking time to make my experience in fluid, top to bottom, so we could stay focused on restoring pelvis function. Thank you also for Michael Mullins, PTA, ATC, PRC for continuing to be an ambassador for the science of PRI in the Northeast and beyond, for putting me up and for the best scallops I've ever had! A+ for all hosts!

This course was filled with eager clinicians who were particularly interested in how to integrate a pelvis with a L AIC and/or a PEC overlay so their clients can return to full function and meet their functional and athletic goals. There was a good discussion and a long span of time taken demonstrating about how to reposition a PEC patient effectively from day one with focus on instant clinical application for a variety of settings. There were many with excellent questions about facilitation techniques and what muscles specifically are involved on which side and how each of said lengthened or shortened state muscle affects each quadrant of the inlet and the outlet--a very intuitive group!

Thank you Kyle Neagle DC, Amy McManus DPT, CSCS, Rick Sirois MS, LATC, CSCS, Sarah Coughlin LMT and others for your help with modeling patterns during lab demonstrations. What a thorough job this group did during lab demonstrations of both tests and techniques! Looking forward to seeing this group of learners in PRI circles for years to come, thanks to each for your attention and learning effort last weekend!

Posted March 30, 2018 at 12:40PM
Categories: Courses

As an instructor, it so fun to be able to teach close to home and have a "home game." I had the pleasure to work with a great group of movement professionals from a variety of backgrounds. It was great to have Mark Cibrario host us for the weekend at his gym, The Trainers Club. It was also so fun to have Ieve Deleon, PT, in attendance. Ieve and I worked together for 5 years, and having her in the audience was very special.

Every course has an opportunity to be lead by the attendees based on their questions. And the questions we had this weekend were on point, while giving us the opportunity to expand our concepts, and still stay on task to achieve our educational goals. My thanks to Michael DuBois, Gena Vernon-Davis, Ninna Wang, Andrew Eliszewski, Ryan Levonyak, and Brad Thurman, among others. We had so many contributors to our successful weekend. Kathryn Lehner and Kyle Tynan were very kind to let us learn from them and be our models for the weekend.

The fun part of the weekend was our lab time. We were able to spend a lot of time in lab working on positional tests, and the Hruska Abduction and Adduction Lift tests, We also were able to work our way through activities related the management of an individual with a pathological L AIC presentation, from activation to inhibition.

"Home games" are infrequent, and to have the opportunity to have had such a great group to work with, learn from, and interact with was truly the best part of the weekend!

Posted March 29, 2018 at 12:00PM
Categories: Courses

Exo's in Frisco, TX was the location for Postural Respiration last weekend. This course was attended by students from California, New York, New Jersey and especially Texas! Lab assistant James Guzman, PTA, MS, CSCS, PRC came up from Houston and was an essential component to the success of this weekend and enhancing the experience for all students. This class had 1/3 students brand new to PRI ,and for most of the rest participating, this was their first intro to Postural Respiration. The feed-back from the class was that Respiration really reinforced Pelvis and Myokin and reinforced the questions "can a femur adduct, can a ribcage rotate, and can a pelvis and ribcage separate movement to reciprocate and alternate?" These students took the concepts of the didactic material and applied their experience to PRI principles through testing, re-positioning and applying manual techniques. Through the process, they discovered how the PRI principle of lateralization actually occurs and what makes it so important in assessing and providing not only bilateral movement but tri-planer respiratory function as well. As always, Superior T-4 is a hot topic and lab assessment and demonstration helped the entire class discriminate between a patterned LAIC/RBC individual and one that is compensating with scalenes aided by the little muscle the could and will, subclavius. One of the huge take-away's was how Superior T-4 Syndrome affects orientation of a neck and that the bridge from respiration to cervical spine in testing is the Cervical Axial Rotation test. The class got a chance to hear Taylor Lewis MA CSCS, PRT, RKC II discuss PRI applications with Cystic Fibrosis. Thank you Brittani Cookinham, PT for all of your help in hosting this course. And thanks to all of the students, Carmela, Dana, Stephanie, Kelli, Michelle, Mario, TJ, Allison, Stephen, Alexander, Hsuan and everyone else for their spot-on questions and enthusiasm.

Posted March 28, 2018 at 10:50AM
Categories: Courses

I remember initially meeting Dr. Davidson in February of 2014, in Philadelphia, at a Cervical Cranial Mandibular Restoration course.  It was his first PRI course. He has attended 20 PRI courses since that date and has helped countless students and individuals understand the human behavior from an adaptative, evolutionary and survival perspective.   After looking at his material for his presentation on “The Resistance as Reference, and the Loss of Authentic Environments” I know anyone who has an interest in “authentic elements of resistance” will not want to miss his perspectives on how to recognize it and benefit from it.   “With the loss of resistance built into our environments, many of us are losing a sense of purpose, have no clear direction in life, and feel unsatisfied’.  Pat is an open –minded, liberated, inquisitive and receptive individual with a background that makes him highly qualified for this symposium and topic.   And I can still remember his 2014 symbiotic smile and look forward to seeing it again in 2018! Learn more about the 2018 Interdisciplinary Course here.

Posted March 23, 2018 at 2:20PM
Categories: Courses
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