Community

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!

A great weekend in Chicago at Pilates Central with Donna Byrne, PRC and her awesome team of Physical Therapists, Athletic Trainers, and Pilates/Yoga Instructors. Dan Houglum, PRC served as a capable lab assistant and the entire Pilates Central Team were warm and welcome hosts. Besides Donna and Dan, we were grateful to have 3 other PRCs in the course: Jesse Ham, PRC, Alex Maag, PRC and Jill Maida, PRC.

Pilates Central - PRI Integration for Geriatrics Course

Of the 32 people in attendance, 4 of them were first time attendees, and we had fun getting to know them. When you attend an Affiliate Course as your first PRI course, you are an instant VIP and we make sure you feel welcome and that you are not left behind on any of the new concepts. We checked in regularly with the first timers and we were able to stay on track for them throughout both days. In fact, as it turned out, these 4 VIPs ended up having some of the best questions and concept summaries of the entire group. Yes, I'm talking about you Candis. You made Rapid City, South Dakota proud (even though I know you are a transplant). Beyond tailoring the course to first timers, it was great to also expand on some interesting principles for those with more PRI experience. Always fun to keep it simple and also strengthen the experienced.

James Anderson, PRC Instructing a PRI non-manual technique, PRI Integration for Geriatrics course

 The group was grateful for the simplified explanation of AIC patterned development, ZOA acquisition, lateralized frontal plane performance, integrated upright standing dynamics, and gait performance. The use of the PRI Integration for Geriatrics Tests in sidelying and sitting provided some great assessment options for the immobile, frail and chronic, while keeping our focus on gait deficits specific to each side of the body. The Positioning Techniques, the Group Exercise Techniques, the Functional Routines Handout and the appendix full of useful Geriatric exercises were a big hit. The functional bed, recliner, seated, transfer and standing sections in the appendix were a great resource for clinicians working with this type of patient.

James Anderson, PRI Integration for Geriatrics Course

Besides there being 6 PRCs in the room throughout the weekend, there were many in attendance who had been to several PRI classes and had lots of experience using traditional PRI tests and techniques. One of my favorite things about the Affiliate Courses is that they provide a fresh approach and innovative ideas, even for seasoned PRI practitioners. I was reminded of this fact when I received the following message from a fellow PRI Faculty Member and PRC and good friend Jesse Ham: "James, clinically, I am loving the ability to achieve left laterality into the back seat with the posterior mediastinal feel/sensation in seated and being able to reposition a pelvis in hook-lying with alternating respiration. Thank you for adding layers of understanding to what I already knew and appreciated about PRI." You're welcome.

Louisiana!

Mandeville, Louisiana to be exact. I went down to Renew Physical Therapy to visit with some of the best folks on earth down in God’s country. Louisiana is a sportsman’s paradise and so many of the course attendees felt, to me, like kindred spirits. The class was Postural Respiration which truly is the flagship of PRI. This was the new and improved Respiration class and I stumbled a good bit as I worked my way through the rearranged PowerPoint and program. But I must say that Chris and Karlie McDougall DPT were such completely kind and forgiving hosts. They indulged my struggles and made me feel like one of the family.

We had two students in our class from good-old Oday Lavergne’s clinic up in Alexandria; Phillip Wuellner and Erik Landstrom but they were not our youngest participants. The title of youngest participant goes to Chris and Karlie’s daughter Aubrey who was only 12 weeks old! Sometimes she cheered what was being said and others....well....she voiced her disapproval! I think she may have had a real problem with patterned, non-reciprocating, non-alternating diaphragmatic function. Because of that, I’m sure that she was in the right class. I did notice that she didn’t get a certificate of attendance. I’ll be speaking to Jen Platt about that oversight.

Mike Cantrell, With Chris and Karly McDougall. Postural Respiration Course

Kyle Babin DPT, PRC was on hand to assist in our lab sessions and Kyle and I go pretty far back from his days in Texas. A kind and humble man, he truly provided clinical insight that was extremely helpful. I arrived a day early and spent a day in New Orleans touring the French Quarter and sampling the cuisine and sat in a wonderful throne at the Saint Hotel lobby.

As PRI continues to grow and be a game changer for so many professionals, I find myself humbled and grateful to be chosen as a messenger. I am nowhere near worthy to be such, but will trust the wisdom of my mentor and friend, Ron Hruska as he continues to drive me to follow his mandate and be a mentor. Thanks to all of you at PRI and those of you in PRI Nation for your trust in me. I will do my absolute best to never let you down. And to the class participants: thanks for allowing me the opportunity to visit with you and share the exciting information of Postural Respiration!

Postural Respiration Course Renew Physcial Therapy. Covington, LA

Posted February 20, 2019 at 11:28AM
Categories: Clinicians Courses Science

Every time I see, say or hear the word ‘airway’ I think ‘oscillation’, and every time I see, say or hear the word ‘oscillation’ I think ‘airway’.  Therefore, you can probably imagine how excited I am for the upcoming Interdisciplinary Integration Symposium and for the opportunity to engage with all the speakers who have dedicated their professional lives to these two words. 

A recent article in The New Yorker (February 11, 2019), written by Burkhard Bilger describes our orchestration inside of us.  His first two paragraphs of ‘Extreme Range’ sent me over my edge of containment...

“In a throat, a note is forming.  A puff of air, a pulse of the lungs, rushes up the windpipe and through the vocal cords, parting them like a pair of lips.  As the cords begin to vibrate, they’re stretched taut by muscles to either side, raising the pitch.  The diaphragm pumps more air, rocketing the note up the vocal tract, making its walls hum like the barrel of a woodwind.  The sound ricochets back and forth as it rises, gaining resonance with each rebound, till it bursts into the hollow chamber of the mouth, the ringing cavities of the sinuses, and careens off the palate into the open air.

The human voice is the world’s most astonishing instrument, it’s often said.  It’s capable of everything from a trill to a bark to an ear-splitting scream, from growling harmonics to liquid acrobatics, lofted on the breath like a lark on an updraft.  Instrument is the wrong word, really.  The voice is more like a chamber ensemble: winds and strings and blaring horns, strung together end to end.  It’s a pump organ, a viola, an oboe, and the bell of a trumpet, each instrument passing the sound along to the next, adding volume and overtones at every step.  Throw in the percussion of the lips and tongue, and the echoing amphitheater of the skull, and you have a full orchestra playing inside you.”

Over the next few weeks, I will highlight each of our six orchestrated speakers and presenters, and how their ‘Approach to the Production of Voice, Airflow, and Resonance Frequency Breathing’ strengthens our sense of self and self-satisfaction.  Postural satisfaction requires intimate integrated oscillation from our vocal cords, neck musculature, throat or airway and occiputs.  Highlighting is something I do with every article, book or journal I read.  I look forward to every one of our Spring Symposiums, but this year it will be hard to contain my excitement between now and one of the biggest highlights of my year.

Posted February 18, 2019 at 10:32AM
Categories: Courses

Coming from the Polar Vortex, it was a refreshing respite to be in sunny Arizona for the first Myokinematic Restoration course of 2019. We were fortunate enough to have a very diverse class of attendees ranging from chiropractors, to strength coaches, to physical therapists working in various settings, to certified athletic trainers working with professional athletes.

Myokinematic Restoration is a fantastic course to kick-start one's PRI journey. This was the rare introductory course where over half of the attendees had been to previous PRI courses. This provided us a unique opportunity to delve into other material that we wouldn't otherwise be able to cover. We had excellent questions and excellent lab time as a result.

Lab Demonstration of PRI Testing, Myokinematic Restoration, Chandler, AZ

One of the topics that we were able to cover in this course that previous attendees appreciated was the Hruska Abduction Lift Test. This test is taught in depth in Pelvis Restoration as well, but for those who had attended Myokin previously, this was a new topic for them. Additionally, it provided the newcomers a chance to be able to appreciate how PRI integrates the gait cycle and breathing into treatment from beginning to end. We were also able to briefly touch on other topics, such as PEC management and rib cage IR, because of the previous experience of many of the attendees. However, we were also able to stay very on point and keep the course on track for those who were attending for the first time.

Dan Houglum demonstrating the Hruska Abduction Lift Test, Myokinematic Restoration Course

My thanks to Jim Wittekind, PT, PRC, for his help during lab and insightful discussion. The staff from 360 Physical Therapy, Becky Fox, Jennifer Peters, Krystina Leal, Caleb Walls, and Jason Roe, were perfect hosts. My thanks to Nathan Whitney, Ginsie Huntley, Liz Cash, Chris Burke, and Garrett Chin for their questions and discussion.

Lab Demonstration, Myokinematic Restoration course, Chandler, AZ

At the end of the day, we all need to be a little more like Bruce Wayne, and less like Batman. And we need to use our "good boy band" of muscles, instead of the "bad boy band" that the L AIC often puts us into. As a result of our conversation around normal mechanics vs. compensatory mechanics relative to the L AIC pattern, we were able to delve into how these analogies applied to our assessments and treatment approach. We were able to spend a lot of time on muscle activity as well as how to apply the Hruska Abduction and Adduction Lift tests into assessment and PRI non-manual activity selection.

Hruska Abduction Lift Test, Myokinematic Restoration Tweet

We were blessed with a great group of movement professionals, and I was fortunate to be able to help them either continue or start their PRI journey. Thanks for a great weekend!

Posted February 14, 2019 at 11:29AM
Categories: Courses Techniques Science

What a great way to start off teaching my first course of my 2019 schedule at my own clinic here in Southern Pines! Nothing like sleeping in your own bed and walking your dogs at lunch time! I had the help of Sarah Ratti PTA, PRC! Sarah was a member of the 2018 PRC class and I was lucky enough to get to know her in December and have her help during lab!

Sarah Ratti and Jennifer Poulin at the Pelvis Restoration Course

 I was so excited to teach Pelvis Restoration following attending Ron's Non-manual technique workshop last weekend in Lincoln, NE. I learned so much and it certainly help energize my teaching and deeper understanding of the Non-manual techniques! I was able to really help my course attendees with choosing techniques and following a frontal plane progress as it relates to the Pelvis.

Jennifer Poulin Instructing a PRI Non Manual Technique

Every time I teach this course, I learn more and grow not only as a faculty member, but also as a clinician. I am hopeful my course attendees would feel the same. My class was interdisciplinary! We had PT's, PTAs, massage therapist, kinesiologist, strength and conditioning coaches, Yoga Instructors and massage therapists! It was a 50/50 split of newbies and experienced PRI clinicians. Maude and Brenda were my Pure Newbies, meaning they really didn't know what PRI was all about. But they left excited that they had been exposed to the science and couldn't wait to integrate what they learned into their current practice. I was happy to have Malynda Kerksick in my class. Malynda was a former patient of mine and now a PRI enthusiast!

I have had the pleasure of watching her grow as a Yoga instructor and her questions were much appreciated. She also did a great job photographing moments throughout the weekend. She gets photo cred for capturing my pure joy while teaching this weekend. I am so proud to be a part of the growth of Postural Restoration. We get asked all the time which course should I take next? What is the best first course to take? I made sure to emphasize the true nature of feed-forward neurology. You treat a pelvis, you influence the thorax, neck, head and big toe! I hope to see these faces again in a future PRI course! The #PRINation is now stronger than ever before!

Pelvis Restoration Course, Non Manual Technique Demonstration

Pelvis Restoration Lab Demonstration

Posted February 13, 2019 at 11:33AM
Categories: Courses Techniques Science

A few days before this course, I was reviewing the material and made a remark to Jen Platt on how much “good” stuff is in this course, that I forget about from year to year. It is so enjoyable to have an opportunity to discuss the reasoning one might use before selecting a position to place a client or patient in, before selecting a non-manual technique. What went into the thought processing regarding reference centers and concepts and why is it important to select an appropriate primary reference for desirable “referent” behavioral outcomes? 

Ron Hruska demonstrating a Non-manual Technique with Neil Rampe

Results are based on preparation. Preparing the patient on what to be mindful of, sense, possibly expect, experience, etc. are all more important than making sure they are doing the technique “correctly”. Processing information can be difficult if individual centers of tactility are not explored first. Words matter, word placement matters, word meaning matters, word correlates matter, word integration matters and word synchrony matters. 

Ron Hruska Non Manual Techniques Workshop

This course allows me to review this communication process, inhibitory intensity and neurologic effort for those who have unique limitations but very similar outcome needs, relating to pattern development around asymmetrical design. Over twenty different non-manual techniques, many of which were selected by the attendees, were reviewed, torn apart, discussed, re-designed and then re-designed again, to recognize reliability of approach and validity of use. It is personal for me. And therefore, an opportunity for those who share their transparencies to reap “good” stuff.

Ron Hruska Non-Manual Technique

Posted February 12, 2019 at 11:10AM
Categories: Courses Techniques Science

Mizzou Therapy Services located at the Missouri Orthopaedic Institute hosted it's first PRI course, Postural Respiration, this past weekend in a beautiful state-of-the-art facility. What made this weekend significant was that nearly two thirds of the attendees were from Mizzou Therapy Services or new to PRI. This holds the promise of a great opportunity for these therapists to collaborate, practice and potentially master the manual and non-manual PRI techniques taught this weekend.

This is the first time this instructor has taught a course with so many participants from the same facility and the energy and enthusiasm from these talented therapists was inspirational! Since most of the class was new to PRI and attending their first course, PRI principles were broken down in detail to provide a solid foundation to a brand new paradigm. Many of the therapists immediately saw the value of Postural Respiration with working with their COPD patients, athletes from the University of Missouri as well as geriatric populations.

Postural Respiration has been updated and revised just this year and Posterior Mediastinum could be another name for this course. Patterns, position and posture of the diaphragm affecting every vital system in the body were defined and explored this weekend. Columbia, MO is a great college town and has tradition at their sports games from their fans. On one side of a group of fans they will shout " M-I-Z" followed by the other group answering "Z-O-U!" for MIZZOU! This weekend the therapists at Mizzou Therapy Services have a new chant which is "M-I-Z" ---"Z-O-A!" for the new awareness of "Zone of Apposition" as described in Postural Respiration!

Many thanks to Joe Pope, PT, PRC for driving in from Eldon, MO to assist. His expertise and skill at describing and expanding on PRI principles and his lab assistance was invaluable. Joe is thoughtful and articulate with his responses and patience. Thank you to all of the staff at MTS including Lindsey, Laura, Mackinzie, Barbie, Katie and all others that helped to organize and clean up at the end of the day. Your energy and assistance with providing such a great facility was much appreciated.

Posted February 8, 2019 at 1:06PM

PRI's online home study courses are now approved for CEUs through the American Occupational Therapy Association (AOTA)!

As of January 2019, the following PRI courses award AOTA CEU's:

Thank you to our AOTA Consultant, Minh Nguyen for working with us to renew our AOTA Approved Provider status, and get these home study courses approved as well!

Posted February 6, 2019 at 8:44AM
Categories: Courses

Having the opportunity to discuss the role of the hypothalamus and integrated thalamic function as they relate to autonomic patterned respiration, physiology, posture and central nervous system compensation, was an enduring dream of mine. I could finally, deliver a course that describes how our autonomic and central nervous systems operate with and from  biased cerebral and cerebellum lateralization, hemispheric specialization, and oscillatory compression and decompression.

Ron Hruska demonstration during Cranial Resolution in Seattle

Over two decades of literature review, clinical application, multi-disciplinary experience and evidence based outcome methodology, built with the help of an Institute I started for these course objectives, fulfilled me in ways that are very difficult to express. I trusted an idiosyncratic educational process that challenged me as a pre-dentistry student. A clairvoyant process that required collegiate patience, faith in humanity and belief in our holistic, biological and neurological system. I appreciated the 41 course ambassadors who also trusted this process. I hope they came away with a sense of how we patterned humans resolve to make sense of what we don’t sense through pattern compensation of air flow, fluid movement, and cavity fluctuation as it relates to ischial and occipital (sacral and cranial) rhythm and thus autonomic processing. 

Christopher Murphy at Cranial Resolution, Alpine Physical Tehrapy

Cranial Resolution Course Attendees, Seattle, WA

This course was strengthened by the input and participation from too many people to list here, but I especially appreciated the support from Erin Coomer DPT,OCS, Laurie Gribschaw PT,DPT,ATC,AT/L,PRC,  Janine Peacock DPT,OCS, Paige Raffo MPT,OCS and Kelly Martin PT.  I could not have asked for a better audience and support group.   There were many reasons I wanted to give this first course in Seattle but three of those reasons are Christopher Murphy DPT,OCS,PRC,  Jeremiah Ferguson DPT,OCS,PRC, and Eli Zygmuntowicz DPT,OCS,PRC. These three men are absolutely the embodiment of family. I will always be grateful for their warmth, charismatic charm and pedagogical approach. I had so much fun and look forward to the next opportunity to talk about pendular parasympathetic process. 

Alpine Physical Therapy

Jen and I had the pleasure of returning to the APTA Combined Sections Meeting this year in Washington, D.C. Years past have provided us great discussions with both Physical Therapists and Physical Therapy Assistants as well as Students who are seeking these professions. This year once again proved the value of our attendance and allowed us to inform many individuals interested in the science of Postural Restoration. It is so re-assuring and invigorating to be able to discuss our science with those who may not have been exposed prior to attending.

The Combination of both PT students and seasoned Physical Therapist's provided a myriad of conversations and allowed us to connect with both sides of the spectrum. Many faculty members from various institutions and organizations asked passionately about our science and wanted to be better at introducing it to their students. Many students asked passionately about finding a PRI Clinician in their area for mentorship and clinical experience as they complete schooling. Interests in specialization areas continues to grow and we were excited to discuss our Affiliate programs in Pediatrics, Geriatrics and all others with those who find interest in these populations.

Shortly after a discussion regarding our PRI Integration for Fitness and Movement course we were surprised to see a familiar face come across our booth! Little did we know Julie Blandin was in attendance and literally ran into us amongst the crowd. What a great surprise!

Although running into a PRI faculty member was unplanned, we were lucky to have several PRC’s and PRT’s reach out to us as they learned of our stay in the area. On day 2 of the conference we received another surprise as our dear friend and PRT Navin Hettiarachchi sent us a text. “I don’t know how but I have found 3 tickets for you to tonight’s game!”, we had discussed possibly meeting up with Navin but due to the Golden State Warriors coming to town we all thought it would be difficult to find tickets. Although we loved our first NBA experience it was perhaps more fun to see Navin in action with the team. He is a true gift to any organization, as his smile is infectious and his care for his players is unmatched. They are lucky to have him and we are lucky to call him our friend and have him in our PRI Family.

We were also able to meet up with PRC Heather Carr, who has been part of the PRI Family for many years. It was great to see her and to meet her husband Jan, as they provided us with local recommendations and things to see. Heather continues to introduce PRI to many others and we are so grateful for her support. Our last evening included a dinner reservation with PRI Faculty Louise Kelly and her husband Bruce and it was such a great way to finish our weekend. Bruce and Louise met in graduate school and it was a true pleasure to take a walk down memory lane with both of them. Although the food was great the conversations shared and laughs that were had truly made our last night in DC special.

Thank you to all everyone who made this conference a success. The science of PRI continues to grow and each conference we attend makes it apparent that word of mouth is still one of the best ways to connect and share our passions with others. Thank you in particular to Navin, Heather, Julie and Louise for going out of your way to spend time with us. PRI has a way of connecting people and it was great re-connecting with each of you!

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