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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 of returning to ATI Physical Therapy in beautiful Everett, WA just outside Seattle. Betsy Baker Bold has been serving PRI as a hub in the greater Seattle area for many years and we at PRI were once again welcomed into her clinic at ATI with open arms for a learning adventure, this time for Myokinematic Restoration. With Erin Rajca, DPT, PRC to assist with lab and Agnes as the backdrop screen for the projector, we had a high quality environment to take in some high quality PRI movement science. Meg Tyner, DPT, ATC, CSCS from New York earned the rockstar award for her ~3,000 mile journey to Seattle!

Matthew Krings, PT, Jaclyn Stoerzbach, DPT, Diane Wiggin, PT, and Stefanie Wren, PT among many others provided thorough and insightful questions regarding asymmetrical polyarticular chains of muscle and how to integrate these and other PRI principles into practice. Thank you Hollie Young, PT, Jonathan Losch, SPT, Michael Murphy, DPT, OCS Kyle LaLiberte, ACSM EP-C, Alexa Degel, DPT and others for your help during the various lab demonstrations of manual and non-manual techniques throughout the course designed to attenuate and balance normally asymmetrical laterality of an AIC pattern.

On Sunday morning we woke to what I understand to be a relatively large snowfall for the area. This group of attentive, enthusiastic learners not only arrived early, but stayed engaged throughout and added to course content with well-considered discussion throughout. This Instructor thoroughly enjoyed dialogue regarding origins of pathology due to compensatory patterns as well as discussions of what, when and how to address post-operative patients with the same symptoms before and after procedures using PRI principles for AF and FA movement.

Thank you again Betsy, Erin, Agnes and the whole crew I learned with this weekend--and Tuline Kinaci, ATC for reminding us all that our traits are as habituated as they are innate. Once again, Seattle wowed me.

Posted February 22, 2018 at 10:39AM
Categories: Courses

It was a refreshing weekend in Albuquerque, NM, for several reasons. Since I had to use my snow blower three times before I left, it was great to see the sun and feel 60 degree weather again. More importantly, it was very refreshing to have the opportunity to explore human patterning and performance with so many individuals new to the science of PRI.

The introduction of the concepts of neutrality and asymmetry started our weekend. And those concepts were followed by why and how does the L AIC pattern develop and become the dominant neuromechanical pattern in our body. And that lead us into our conversation of normal mechanics vs. normal compensatory mechanics vs. pathological mechanics due to this dominant L AIC pattern.

As we moved into myokinematic behavior as a result of the L AIC pattern, Karen Bexfield, PT, asked a great question: why is our focus on the frontal plane? That question helped focus our conversation around the necessity to get out of system extension, either unilaterally or bilaterally. And helped drive our conversation around the idea that if the frontal plane isn't intact, then transverse plane motion will occur in the incorrect location and manner, causing further compensatory patterns, some of which will result in more pathology. When it's time to be "Batman," be "Batman." But when it's time to be "Bruce Wayne," be "Bruce Wayne." And we need to be "Bruce Wayne" much more often on both sides than we currently are.

We were fortunate to have a lot of lab time to focus on the value and application of the Hruska Abduction and Hruska Adduction Lift Tests. We were also very fortunate to be able to spend a lot of time in lab so we could experience several of the non-manual PRI techniques ourselves. The hamstring is the gate keeper of the gait cycle! My thanks to Nathanael Smith, ATC, CSCS, for being a great host and allowing us to use his awesome facility. New Mexico is just starting to gain traction in PRI, and it's exciting to see a facility like Nathanael's adopting PRI concepts. Meeting Nancy Allen , PT, was a real treat for me. She's been exposed to PRI for several years, and it turns out she grew up in South Dakota, not far from where I grew up! Small world!

My thanks to Nancy as well for bringing along her co-workers, Karen Bexfield and Andrea Deyloff, so they could get their first taste of PRI. My thanks to Pat Fraser, PT, for her great questions. Thank you to Alanna Phillips, a PT student, for making the trip for her first PRI exposure. Thanks to Karen Russo, PT, Lukasz Sokol, and Nathanael Smith for letting us use you as our demonstration models. Thank you to Sandra West and Emily Blair, DC, for their enthusiasm and great comments. And thanks to Maritza Castro, ATC, for making the trip all the way from the Dominican Republic for the course!

Posted February 20, 2018 at 2:52PM
Categories: Courses

Giving a PRI course on occlusal positional consideration and occlusal influences on human positional sensorium and pattern was one of the highlights of my career and life. “After 45 years of ‘pre-dental major’ exploration, non-conformist intuitive processing and integrative pattern exposure and recognition and ‘irrational’ clinical appreciation that was built off of ‘effect and cause’ experience, “I was prepared to present ‘post –dental’ reasonings and recommendations. This first power point slide is powerful because it reflects my 45 years of pre-dentistry and the foundations of PRI. It is a course designed for dentists who are interested in patterned occlusion and its relationship to human patterned asymmetrical and functional limitation.

This was the first time I gave this one day course – however, I have been preparing 45 years to discuss spheno-palatine influence on bite patterns, teeth behavior  and personalities, the five meanings of ‘OA’ as related to that frontal plane, occlusal-calcaneal cortical function, and occlusal impact on dynamic freedom.

I want to thank Jen Platt for her ‘first row’ student perspective and advice and for her patience and producer role, that she has perfected over the years of working with this director. Other shout outs to Hannah Janssen for her acting and functional performance and to Matt Hornung for his editing, visual production and camera mastery. Without my comrades at the Hruska Clinic, refinement and resolution of this vast subject matter would be tyrannical. Jason Masek MSPT, ATC, CSCS, PRC, Lori Thomsen MPT PRC, Torin Berge MPT , PRC, Dave Drummer DPT, PRC and Heidi Wise OD, FCOVD. Thank you for your patience, kindness and ongoing support. I love you all so much.

I also want to thank Rebecca Hohl DDS MS, Chris Campbell DDS, Mark Vanicek DDS, Susan Christensen, DDS, and their respective staffs. Without their integrative mindedness and effort, the research that supports the didactic information provided by this course would have limited clinical significance and measurable outcomes.

The feedback and input were invaluable and I am excited for the next opportunity to relate human patterned asymmetrical occlusal contact and referenced sense to the asymmetrical pattern that coincide or contribute to human pattern development and the behavior recognized  by the Postural Restoration Institute

Posted February 16, 2018 at 3:37PM
Categories: Courses

Hruska Clinic hosted visitors from Japan

Earlier this January we were blessed to host 2 gentlemen from Japan; Koichi YAMADA and Akira YOSHIMOTO; who came to Lincoln to see how our staff utilizes the science of Postural Restoration(R) in a clinical setting. They spent a day mentoring with us in the clinic as well as some time with the staff at PRI. Here is their testimonial in their best of English as well as some fun pictures from their time. Little do they know that we learned as much from them as we hope to have shared with them. We hope to continue to grow these types of relationships with passionate dedicated professionals wherever they are!

Read their comments here!

Posted February 1, 2018 at 4:05PM

I can't begin to explain how much fun I had teaching this past weekend, for many reasons. One of the main reasons is the site host this past weekend was one of my very good friends, Suzie Maciel. Suzie and I went to PT school together, and we have been great friends ever since. She is responsible for PRI coming to Sacramento, as well as the success of our class this weekend. We had some IT issues, and Suzie was a real hero. My eternal gratitude, my friend!

We had a ton of great questions that helped us keep focused on our progression from normal mechanics to pathological mechanics. We were fortunate to have a very diverse class of rehab and strength professionals. It is both refreshing and exciting to have so many first-timers to the science of PRI. To have the privilege of introducing PRI to health care professionals, and sharing the ride with those eager to learn, is so enjoyable.

Our weekend started with a mechanical discussion and progressed to how patterned mechanics dictate muscular performance. We also discussed how we need to keep our muscles in the proper "Boy Band." There are times to be "Batman," and times to be Bruce Wayne. We discussed why the neuromechanics of patterned behavior leads to compensation, and how some compensation is expected, and others lead to pathology.

We were fortunate to have plenty of lab and demonstration time. My thanks to Dade Donovan, DC, for being our model for our repositioning demonstration. He has a classic L AIC presentation, and was the optimal model for our learning. , Additionally, Cole Hughlett, DPT, provided us the opportunity to learn how his testing revealed differing results when compared to Dade. We also had a great introduction to the Hruska Adduction and Abduction Lift tests, as well as how they are linked to the gait cycle. Which lead us into our discussion of how the hamstring is the gate keeper of the gait cycle. Susie Buchanan was a great model for us to learn and see how underlying every PEC is a L AIC.

My thanks to Robert "Pete" Lucente for his awesome and timely questions. Melissa Stahl, Teresa Wooden, Tim King, Joel, Smith, and Andrew Hughey kept us honest during lecture, and asked insightful questions during lab. And a huge thank you to Caleb Chiu, CSCS, PRT, for his help during the weekend. He is a fantastic lab assistant, and was invaluable in adding important points of discussion that needed to be clarified or emphasized more. An additional thank you to Taylor Lewis, MA CSCS, PRT, RKC II for his help during our labs. Having two certified individuals in the course really helped the course run smoothly and allow the first timers more access to how to apply the science of PRI from two very experienced practitioners.

Posted February 1, 2018 at 9:07AM

We recently received a copy of PRT Jessica Kisiel’s newly released book Winning The Injury Game – Alignment Strategies for Healing and Performance, and wanted to share the news with PRI Nation. Below are a few words from Jessica about her story and inspiration for writing the book.

“I was diagnosed with severe hip osteoarthritis (OA) at the peak of my professional mountain biking career. The devastating pain in my hip and back made it impossible for me to cycle comfortably. Upon receiving an orthopedic surgeon’s advice to prolong a hip replacement as long as possible, I set out to find an alternative path to healing. Winning the Injury Game tells the story of my journey from pain and desperation back to hope and competitive athletics. This book shares the lessons I learned as a patient and coach, providing a mix of personal and client experiences with professional knowledge. I am happy to say that I have not had that hip replacement, and I still enjoy playing a variety of sports. The aim of Winning the Injury Game is to help you to do the same. You can overcome your injury—and you can confidently return to pain-free activity for the long-term!”

Do you have patients or clients who want to learn more about their pain and the process of recovery from someone who has experienced what they are going through, and has an understanding of the importance of alignment, balance, wellness, and performance? If so, you should check out this personal and inspiring book, which includes many references to Postural Restoration®.

Jessica is offering a 10% discount to PRI providers, which can be purchased on her website The Pain Free Athlete, using the code PRI10 . PRI does not sell or benefit from the sale of this book.

Posted January 23, 2018 at 4:52PM

Palm trees and a Santa Ana breeze was a refreshing respite for those who traveled from the cold parts of the country to Velocity in Redondo Beach Jan. 13-14 for Postural Respiration. Interdisciplinary was a theme as this course had P.T.'s, ATC's, D.C.'s, a D.C. Student, a DDS and an M.D. affiliated with UCLA who wants to learn PRI as part of a research project for high risk pregnancy. There was an added bonus: Chad Moreau, D.C., CSCS, PRC, the only other chiropractor who is a PRC, attended as a lab assistant. This was also the first time having two Chiro PRC's in the same course! Chad is a quiet force who also is a strength and conditioning coach for the L.A. Kings.  His clinical expertise and insights to his approach with his athlete patients painted a picture of how to apply PRI to high level athletes.

In addition, Miguel Aragoncillo, CSCS, PRT came out from Boston to assist. He is a PRT and will be entering PT school in the fall.

Chad and Miguel made the weekend a success for all of the students.

First time attendees can all relate to how overwhelming a primary course paradigm shift can be. This group asked questions (Shout out to Locatelli, Allyse, Beth, Waleed and everyone else!) that helped clarify scapular/rib positioning and TS/ST movement. This is a challenging issue for everyone then adding Superior T-4 on Sunday further paradigm shifts the group into the pathomechanics of respiration and rib/spine rotation. Thanks so much to Misao Tanioka for facilitating this weekend. She anticipated every need of the students and really helped make the weekend run smoothly. In addition, this was her first course as well! Needless to say, I love L.A.!

Posted January 18, 2018 at 3:22PM
Categories: Courses

We are excited to announce and congratulate our Postural Restoration Trained (PRT) Class of 2018! PRT is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRT application, and successfully participating in practical and analytical testing. This past weekend, four professionals earned the designation of Postural Restoration Trained (PRT) under the direction of Ron Hruska, Neil Rampe and Jennifer Platt.

The Postural Restoration Institute® established this credentialing process in 2011 as a way to recognize and identify individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute®.  The PRT credential is available to Certified Athletic Trainers, Certified Athletic Therapists, Exercise Physiologists and Certified Strength and Conditioning Specialists who have completed the course requirements, application and testing process. With the addition of this class, there are now 50 PRT professionals throughout the U.S and Internationally.

PRT credentialed athletic trainers, strength and conditioning coaches and exercise physiologists offer a unique approach to physical medicine and fitness called Postural Restoration®. This approach addresses underlying biomechanics which can often lead to symptoms of pain and dysfunction. All mechanical influences on the body that restrict movement and contribute to improper joint and muscle position are considered, examined, and assessed. Techniques are utilized to restore proper alignment of the body while proper respiratory dynamics are considered. Management encompasses prevention and lifetime integration for long-term successful outcomes.

View and download the photos here.

Congratulations!

Pictured below from left to right: (Back Row) Ron Hruska, Neil Rampe, Eric Menchi, Yoshi Mitsuyama,  (Front Row) Jessica Tidswell, Stephen DiLustro, Jennifer Platt

Posted January 12, 2018 at 10:01AM

COMING SOON:  PRIME Newsletter

As we look forward to what is to come in 2018 here at the Hruska Clinic's PRIME program have decided that we would love to be able to better Engage with our patients and referral sources and other people who may be interested in what is going on with our program.  So we have decided that we will be starting a newsletter that we will send out to update anyone who is interested. Our hope is to provide information on how our multi-disciplinary program works, what types of patients benefit, how we decide who would benefit from our program and some information on concepts and patterns that we see clinically.  If you are interested, see the PRIME website here for more information and to sign up for our newsletter. 

Posted January 12, 2018 at 9:17AM

Over lunch Ron and I were talking and I showed him an blog that PRT Miguel Aragoncillo wrote. We both loved the lessons that he learned and his thought processes. Read the blog HERE.

Posted January 5, 2018 at 1:42PM
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