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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!

Grateful to be able to teach Postural Respiration this last weekend in Lincoln at the Postural Restoration Institute. Especially grateful that Ron was not traveling this week and that he was able to join me for the presentation. It reminded me of the early years of PRI when Ron brought me along to co-teach with him as he mentored me. I remember him taking the lead in those early courses and letting me chime in as I became more knowledgeable and confident. It was truly an honor this time around for me this be able to take the lead and to have Ron there to chime in to support what I was saying. Truly humbling and also very fun.

Besides getting to teach with Ron again, it was a cool weekend blending old relationships with new ones. I got to see Tim Newman, a neuromuscularly minded LMT I have known since the early 2000’s. It was also fun to see Tricia Athans, PT, PRC from Sandhills Sports Performance in North Carolina and Michelle Spicka, DPT, of Husker Rehabilitation and Wellness Center in Lincoln. Thanks for your support Michelle and for bringing 4 of your co-workers. Also appreciate Nick and Travis at Athletes Performance Center in Omaha for sending 5 members of your physical therapy team. Great to have them all there with us.

And thank you to a new friend, Nick Monzu, who was very generous serving as the demo for non-manual and manual techniques to give people insights on how the treatments look and “feel”. Also fun to have Lori Thompson, MPT, PRC in the house to support the class as a lab assistant and to make things better just because she was there. I always learn a lot when I listen to, learn from and have the opportunity to share with Lori.

The content of this Postural Respiration course provides an opportunity to delve into fundamental PRI concepts and explore both non-manual and manual treatments for thoraco abdominal patterns and patho-mechanics. Concepts like the ability to sense a respiratory breath from both sides of the diaphragm, the ability to achieve posterior mediastinal expansion sense on the left side and properly sequenced apical expansion on the right side were explored on both days. The power of a properly postured diaphragmic breath, the respiratory pause and use of lateralized airflow training to minimize patterned airflow were also discussed. Having Ron in attendance allowed clarification on all the principles being discussed and connection to the many research articles referenced throughout this manual, with the prospective of the institute’s founder.

Posted November 2, 2018 at 12:26PM
Categories: Courses

My second weekend of teaching in Munich is complete and the class went very well. Postural Respiration is the flagship of PRI and we sailed the vessel boldly. The group came from all over Europe: Germany, France, Netherlands, Slovenia, Austria and Israel and the class was happy and engaged. So many were excited and mentioned that they wanted to host a course in their neck of the woods. We’ll see what the future brings. I had opportunities to venture into Munich and Daniel Muller DO of Linderbergs Academy took us to many fine spots. Eddie Erdeljac MD, DO1 along with Daniel took us to a nice jazz bar and the atmosphere was classic.

I want to thank Tina Haiser PT, PRC for her help and Betsy Baker-Bold who decided to return and help out!

These two fine clinicians made the whole class a better place for learning. A special thanks goes to all the Linderbergs Academy workers and clinicians and specialists who made the class exciting, interactive and fun!  As I leave Germany and Munich (my ancestral “home town”) I am heartened by what I have seen at Linderbergs and a little sad to have to leave this group of newfound friends. My executive assistant Ilene Stewart put it best when she said that all of the class participants treated us like family and Linderbergs felt like home. She was right and it’s always a little tough to leave home.

We are excited to announce the very first "Travel with PRI" European Tour, following our Impingement & Instability course in Munich, Germany next September! Don't miss the opportunity to not only travel with Ron Hruska, but also other PRI colleagues and friends to Germany, Czech Republic, and Austria. This 10 day tour will begin in Munich following the Impingement & Instability course (September 14-15, 2019). To learn more visit the Travel with PRI page.

Posted October 24, 2018 at 3:55PM
Categories: Courses

PRI Integration for Geriatrics (Minneapolis, MN)- An awesome weekend in the Twin Cities of Minnesota with the great team at IMPACT Physical Medicine and their course coordinator, Christie Amundson, PT, DPT, HFS, PRC. Their owner, Mr. Stan Babel is a long-time friend of mine and both a gentlemen and a scholar, simply stated. I have been fortunate enough to work with their clinic over the last 17-18 years teaching and consulting and Stan has always treated me with the upmost kindness and respect (and for the record, he takes me to the best restaurants in St. Paul). This weekend reminded me of all my friendships over the years within this organization and the many memories I've been able to make over the different generations of IMPACT employees during this time. A big thanks to all of you, past and present.

There were a lot of great people from the Midwest in attendance, and I want to thank my two lab assistants, Christie Amundson, PT, DPT, HFS, PRC and Tom Tardiff, PT, DPT, CSCS, PRC for helping make the experience great for the class. You two were very helpful. Beyond all the great Minnesota people in attendance, I was especially appreciative of Matt Rosenboom, OT, for traveling all the way from New York City. I appreciate Matt for a couple of reasons, first because he was willing to travel away from the large coastal cities to attend a course like this in the Midwest, secondly, because he is an Occupational Therapist, and lastly, I love that he has already created collaborative learning with a hand full of PRI experienced people, including an old Protege of mine, Minh Nguyen, OT, PRC.

I highlight the fact that Matt is an OT, because this course has Occupational Therapy written all over it. Besides Matt, there were 9 other Occupational Therapists in attendance and the Physical Therapists got to take time to explore the world of OT, not the other way around. This is meaningful for us because PRI has always been a big fan of interdisciplinary work and appreciating everybody's contribution to the "whole" team. The "Gerald" handout of patterned and preferred "Functional Routines" we discussed on the second day really sums up the functional objectives of this course and helps make the material very practical.

This course has been a gem to share over the last 5 years, especially since completing the updates to the techniques section 2 years ago. People continue to love the exercise appendix, organized into bed, recliner, chair, transfer and standing sections. A couple of you have seen both versions of this course and provided us some valuable feedback on the updates. Thank you in particular, Stephanie Boespfug, PTA, PRC for your valuable insights and the positive feedback on how these new updates have helped you with clinical application working with Geriatrics. It was fun to have you there with us again.

Another reason this course is so fun to present is that it serves as a great introduction to the science of PRI and helps connect people to our fundamental concepts in a simple and non-confusing way. One course attendee wrote, "as a more experienced PRI clinician, I appreciated the amount I still learned exploring basic PRI concepts in this course." Another attendee from last weekend reported, "I am excited to get back to using PRI. I feel like I had stopped, but this course pulled some pieces together for me that I was definitely missing. Thank you." Another course attendee wrote, "Overall, one of the best courses I've been to. Great clinical application for all clinicians working with Geriatrics, not just home health. Pleasantly surprised with my ability to apply this in an outpatient setting. Thank you."

Posted October 22, 2018 at 2:24PM
Categories: Courses

I liken teaching Myokinematics of the Hip and Pelvis to putting on a comfy pair of slippers. I took my first Myokin course back in 2001 the first time Ron offered this material. The course has evolved over time as the Institute learns more about our normal balanced asymmetry and how we compensate in three planes. Despite our deeper understanding of how the visual, occlusal position and proper shoes affect compensation patterns, clinicians still need to understand the fundamentals of a Left AIC pattern as it relates to position and performance. An F (femur) moves on an A(acetabulum), yes, but an A also can move and stabilize an F. This is the foundation of this course. We then need to fully understand how our patients compensate for this normal pattern. Did they or did they not over lengthen their anterior hip ligaments? For me, this is the question of the 2 day course!

In Worcester Mass this weekend, I had an amazing group of clinicians. A large number were taking their first official PRI class. So Fun! But, all of them knew of PRI or were working along side a co-worker using PRI in their practice. They were all in Worcester to learn for themselves how to help their patients/ athletes.

Once we were all clear on the pattern and the position of AF whether it be in IR or ER, we learned the tests to determine their positions and compensations. On Sunday afternoon, we just problem solved our way through the treatment progressions. The class was focused on utilizing functional tests and muscle algorithms to guide what came next. For years I used an analogy in my teaching that seeing a patient present in the clinic as a L AIC was like seeing Yellow VW bugs driving past you on the road. But it is a new day and time for a new analogy, that I now refer to as "Mustang Sally". We had some fun after lunch taking our group shot with my Mustang rental car that I've been upgraded to, 2 weekends in a row! New car for my husband Chris, I think maybe! Since then, I see Mustang's everywhere I go, now that I am looking for them!

Hats off to the staff of Central Mass Physical Therapy! This is the third time I have taught at this host site. I was able to meet some new staff, make some new friends and see some familiar faces. Damion Perry, Yolanda Pappas, Borbala Suranyi and Gene Lyons were all in my Pelvis Class last month in Boston. Meredith Stephens, MS, PT is also a faculty member for Anatomy Trains. We had some great gait discussions at lunch. I look forward to learning more from her in the future. Maureen Watkins, PT is faculty at Northeastern University in the PT department. Her non-patho hip helped me demonstrate how to develop hole control on the right side with a glut max and obturator in the transverse plane. I always enjoy teaching Myokinematics. That's a wrap for 2018. I will look forward to teaching this awesome course next year!

Posted October 15, 2018 at 3:40PM
Categories: Courses

Landing in Munich is like coming home for me. I have family here and I was afforded the opportunity to see my cousins and connect. My mother’s side comes from Munich and Bavaria and our roots are deep here. My sister wrote of my father’s meeting with my mother in WWII in a series of novels the first of which is called: The Reason of Fools by Dodie Cantrell Bickley (see the youtube trailer). After arriving in Munich we settled-in and then had an opportunity to see the city and acclimate to Germany and the time zone change. When I met with Daniel Mueller Osteopath and Eduard “Eddie” Erdeljac MD, DO1, I was greeted with warm smiles and Bavarian hospitality. Lindebergs Academy is like nothing you’ve seen and promises to be a hot bed of PRI in the coming years. This Saturday I started with Myokinematic Restoration and by the time we finished on Sunday, the class was full of excitement and gratitude for learning a new science and a new way to manage clients. Betsy Baker-Bold was a fantastic addition as a lab assistant and her input was incredibly valuable. I am always amazed as I travel around the world disseminating the PRI news along with my interpretation of Ron Hruska’s vision, how friendly and caring the souls are that I meet. We may be from varying backgrounds and walks of life but we are no different at all really. I’m grateful to be here and I will keep you posted on next weekend’s adventures with Postural Respiration!

Posted October 15, 2018 at 9:39AM
Categories: Courses

Thank you to Karen Taylor Soiles, PT, PRC, of Collaborative Physical Therapy, who, together with The Teal Center for Therapeutic Bodywork, welcomed 34 clinicians curious about the science and application of Postural Respiration. Karen’s attention to detail, including the wide array of healthy snacks, kept our bodies nourished and brains alert and focused throughout the weekend.

The need to position the left hemi diaphragm was introduced right off the bat to ensure that the right diaphragm autocracy stops ruling our autonomics! Other key concepts included the need to facilitate hamstrings and IOs/TAs to establish a left ZOA followed by reach activities to hold the ZOA and direct air into previously-restricted areas of the rib cage. A series of gait videos enabled us to view firsthand various pelvic and thorax movement strategies. Lack of arm swing on one or both sides were reflected in our PRI tests. They served as a reminder that arm swing is 50% of the gait cycle!

Thank you to Kathryn Bragg, PT, and Laurie Johnson, PT, seasoned clinicians tuned into nuances of performance of PRI non-manual techniques. The take-home from that discussion: So long as the reference centers are sensed by the patient, stated in the instructions as “You should feel…”, the exercise can be quite effective. Ultimately fine-tuning areas that are holding tension and tweaking alignment can help the process.

With Jill Tender, DPT, as our superior T4 model, we succeeded in unearthing a compensatory respiration strategy that responds to additional non-manual and manual techniques beyond what is needed to manage those who have not yet resorted to this compensation. Others who enriched our learning-through-demonstration were: Amelia Franklin, DPT, OCS; Benjamin Fuentes, PT; Tara Pickett, DPT, GCS; Jacqueline Richards, DPT; and Karthik Yadagiri, PT. I really enjoyed my weekend with this wonderful group of clinicians. They gained an appreciation for just how influential alternating, reciprocal rib cage movement is to efficient movement and to the overall health of human physiological systems….and collectively rejoiced in the resolution of wallet-gate.

Posted October 12, 2018 at 2:36PM
Categories: Courses

We wrapped up the year for PRI Integration for Fitness and Movement courses outside of Philadelphia at Maplezone Sports Institute/The Training Room Physical Therapy in Garnet Valley, PA. We had a very awesome group that digested the principles of Breathing, Thoracic Posture, and Sensing Position and the Ground quite well. It really was a fun group to end the year with, so thank you to all that attended! And special thank you to The Training Room Physical Therapy staff and Rob Rabena at MSI for hosting!

 This PRI course heavily teaches components of breathing, pillar strength and axial frame mobility and their three dimensional relationship for cueing and coaching thoracic posture with proper pelvic position. A good coach can value learning how to coach and cue the core differently based off the position the athlete or client is in, i.e. with a unilateral asymmetrical loaded movement pattern and a symmetrical loaded movement pattern and we look to highlight those relationships in this course.

This year we emphasized the parable of “parachutes and pancakes”. Teaching this parable throughout the year we’ve learned a few things on how people train and see (or don’t see) the diaphragm as an important core muscle. Our emphasis in teaching this parable is on helping attendees appreciate how training oblique abdominals and hamstrings to optimize respiratory postural balance is a key ingredient that should be incorporated in fitness and movement exercises. We know that when the ribs and thoracic cage are too stiff and rigid with ribs in external rotation, hyperextension, and hyperactivity the respiratory diaphragm can become tonic, flattened and underused, we could risk training the core in a compromised position and the “pancakes will become crepes” as the spinal mechanics becomes stressed which could further limit triplanar performance and lock up functional movement patterns, inhibiting gluts and other powerful muscles. On the flip side with people that might misuse abdominals or overdo flexion without unlocking the thoracic rings, we could create a different faulty pattern of forced thoracic folding when proper rib IR and thoracic retraction are not coordinated with a neutral pelvis. This could be a problem and would “fold pancakes into a pseudo folded parachute” which will bring about a different set of issues. Confusing?…. well maybe, but bottom line here, if you followed that, you get the parable!

The core was designed to be mobile and dynamic. If you learn to value rib movement and recognize key axial structure landmarks you can tell when you are training pancakes verse parachutes. The more we can train parachutes in various positions, the more we can help our clients be resilient and durable. #trainparachutesnotpancakes

I’m looking forward to teaching this course in 2019. This year was such a blessing to learn from the attendees and help fill the gaps with new material as well as streamline how to teach the material. We’ve listened to feedback and continued to improve the course to share with the diverse crowds and specialty professionals working in various Fitness and Movement settings. A special thank you to James Anderson, our Affiliate course director, for all his hard work and dedication to make these affiliate courses a success. Hope to see many of you next year!

Posted October 12, 2018 at 9:33AM
Categories: Courses

Cervical Revolution. This class is such a game-changer for so many attendees and it can be for you as well. Did you know that cranial strain patterns as identified in the literature can and are frequently reduced through breathing techniques? Did you know that those same strain patterns are the result of cervical spine positioning? Did you further know that dental integration with PRI certified clinicians is an excellent mechanism for reduction of cervical patterned movement (or lack there of)? Did you know that dentists regularly attend PRI courses? This is because they realize that PRI provides them with the absolute best mechanism for aiding them in understanding the complexity of their neurological oral appliances. Our courses also arm them with understanding of a wide variety of other oral appliances as well! It is our hope that you will discover these exciting and new ways of learning the complexity of the human body as it relates to asymmetry. I taught Cervical Revolution this weekend in San Diego at Water and Sports Physical Therapy and this was a very nice place. I arrived a couple of days early to spend some time with Skip George DC, PRC going over the nuances of this complex course and then Skip and I waded into the material over the weekend as we presented to 25 attendees. Stephanie Kinsella DPT, PRC from Minneapolis was there. We also had dentist Jason Pehling DDS on hand as well. Dr. Pehling came down from Seattle along with our 3 great guys from Alpine Physical Therapy Chris “Murph” Murphy DPT, OCS, Eli Zygmuntowicz DPT, OCS and Jeremiah Ferguson DPT, OCS. These boys host courses regularly and are bent on achieving their PRC status soon. Good luck guys! A number of folks in the class indicated that they too were planning on gaining their PRC status as well! I encourage all of you to make that journey! I hope I see you soon in a Cervical Revolution class. You’ll be glad you attended!

Posted October 11, 2018 at 4:23PM
Categories: Courses

Ron Hruska and I attended the 2018 International Association of Orofacial Myologists (IAOM) this weekend in Charlotte, NC.  It was an informative conference attended by Speech Language Pathologists (SLP),  Registered Dental Hygienists (RDH), Dentists and one other PT. The speakers included physicians (MD and DO), dentists, and SLP’s who spoke about topics including but not limited to: connecting the mouth to the rest of the body, guiding orofacial development in children, techniques for speaking and feeding in children with special needs, techniques for addressing tethered oral tissue (TOT; tongue and lip ties), wound management from TOT surgery, the tongues effect on the body, genetic disorders, and publication trends and evidence in Orofacial Myofunctional Therapy literature.

Ron spoke on Orofacial Myologic Disorders (OMD) Relationship to Postural Asymmetry. It was a well – received lecture where Ron focused on respecting the neck, asymmetry, anatomy, forward head posture and the importance of recognizing sense. He performed a test/ retest demonstration of how a PRI technique results in neutrality. They were amazed to say the least!

Following this lecture Ron and I received many questions from the course attendees about the value of physical therapy. We tried hard to explain to them that their local PT without PRI experience may not be able to address their patient’s issues as demonstrated by Ron in the lecture. It is likely these course attendees (SLP’s and RDH’s) will be contacting you from the PRI website as a clinician to help them treat their patients.  Understand that they believe they are the ones who should be treating the tongue and mouth directly. It will be a nice opportunity for PRC’s to help guide these practitioner’s understanding how the position of the neck and body, and the underlying asymmetry, we all appreciate, can have a significant influence on their treatment, approach and results when addressing oral myology pathology and disorders.  We both came away with a high degree of respect and appreciation for these interactive and collaborative, multi-disciplinarians.

Posted October 8, 2018 at 4:46PM

The title of this artistic illustration reflects how our two lateralized hemi-rib cages operate when their top column of ribs move away from the central axis, or the spine. Bifarious is a botanical name for a structure that has parts arranged in two rows on either side of a central axis.  The Latin definition of ‘bifarious’ is ‘double’. These two representations of the anterior chest wall help clarify the likely degree of lateral flexion or thoracic wall abduction of each row of ribs, with respect to the lung, organ and neurologic asymmetry guidance. It reminds the viewer that they are not looking at one rib cage when you look at the chest or thorax. They are seeing double. Two chest walls that revolve and rotate around a central axis, making all our chest walls bifariously oriented.

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Posted October 4, 2018 at 10:02AM
Categories: Products
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